{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:32Z","timestamp":1782864032474,"version":"3.54.5"},"reference-count":20,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>This technical video demonstrates the treatment of an acutely ruptured, large, complex left fusiform middle cerebral artery (MCA) aneurysm with endovascular flow diversion with adjunctive coiling in a 27-year-old female. Two telescoping flow-diverting stents (Pipeline Flex) were placed, with partial coiling of a saccular portion of the aneurysm. Technical challenges, alternative treatment, intraoperative and postoperative antiplatelet management, vasospasm treatment, and clinical and radiographic follow-up are described.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/stream.cadmore.media\/r10.3171\/2022.7.FOCVID2249\">https:\/\/stream.cadmore.media\/r10.3171\/2022.7.FOCVID2249<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2022.7.focvid2249","type":"journal-article","created":{"date-parts":[[2022,10,3]],"date-time":"2022-10-03T17:30:12Z","timestamp":1664818212000},"page":"V5","source":"Crossref","is-referenced-by-count":1,"title":["Treatment of an acutely ruptured complex fusiform middle cerebral artery aneurysm with flow diverting stenting and adjunctive coil embolization"],"prefix":"10.3171","volume":"7","author":[{"given":"Guilherme","family":"Barros","sequence":"first","affiliation":[{"name":"Departments of Neurological Surgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael R.","family":"Levitt","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery,"},{"name":"Radiology,"},{"name":"Mechanical Engineering, and"},{"name":"Stroke & Applied Neuroscience Center, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2","key":"b1","series-title":"Neurointervention","doi-asserted-by":"publisher","first-page":"126","DOI":"10.5469\/neuroint.2022.00045","article-title":"The use of a Pipeline embolization device for treatment of a ruptured dissecting middle cerebral artery M3\/M4 aneurysm: challenges and technical considerations","volume":"17","author":"Berwanger RP","year":"2022","unstructured":"Berwanger RP, Hoover MC, Scott JA,  The use of a Pipeline embolization device for treatment of a ruptured dissecting middle cerebral artery M3\/M4 aneurysm: challenges and technical considerations. 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