{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T09:01:46Z","timestamp":1780131706507,"version":"3.54.0"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The aim of this study was to evaluate the feasibility, surgical techniques, and clinical outcomes of anterior cerebral artery (ACA) to middle cerebral artery (MCA) bypass using a radial artery (RA) graft in the treatment of complex MCA aneurysms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A retrospective review was conducted on 11 patients with complex MCA aneurysms who underwent ACA-RA-MCA bypass between 2019 and 2025. Surgical details, intraoperative monitoring data, perioperative complications, and long-term graft patency and neurological outcomes were analyzed. Computational flow simulations were performed in selected cases to assess bypass flow rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>All patients (mean age 46.7 [SD 18.6] years) underwent ACA-RA-MCA bypass in a hybrid operating room setting. The A1 segment of the ACA was selected as the donor in 10 cases and the A2 segment in 1 case. Superficial temporal artery\u2013MCA bypass was used as a supplementary or salvage treatment in 2 patients. Immediate graft patency was achieved in 9 patients. Two aneurysms required revision for intraoperative occlusion. No surgical deaths occurred. Infarction related to M1 perforator involvement was observed in 5 patients, whereas no infarctions occurred in ACA territories. At final follow-up (range 3\u201330 months), 9 patients had a modified Rankin Scale (mRS) score of 0\u20132 and 2 patients had an mRS score of 4. Long-term graft patency was 100%, and complete aneurysm obliteration was achieved in all cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>ACA-RA-MCA bypass is a safe and durable revascularization option for selected complex MCA aneurysms, especially those unsuitable for direct clipping or flow diversion. The use of the ACA as a donor provides favorable hemodynamic and intraoperative flexibility, particularly when performed in a hybrid operating room. Despite risks of perforator-related ischemia, mastering and understanding this surgical technique still remains critically important and necessary in the treatment of complex MCA aneurysms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2025.9.focus25589","type":"journal-article","created":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T13:25:49Z","timestamp":1764595549000},"page":"E13","source":"Crossref","is-referenced-by-count":0,"title":["Techniques and application in anterior cerebral artery\u2013radial artery\u2013middle cerebral artery bypass for complex middle cerebral artery aneurysms: donor selection, anastomosis technique, and clinical outcomes"],"prefix":"10.3171","volume":"59","author":[{"given":"Peixi","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University;"},{"name":"National Center for Neurological Disorders;"},{"name":"Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration;"},{"name":"Neurosurgical Institute of Fudan University;"},{"name":"Shanghai Clinical Medical Center of Neurosurgery; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingzhu","family":"An","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University;"},{"name":"National Center for Neurological Disorders;"},{"name":"Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration;"},{"name":"Neurosurgical Institute of Fudan University;"},{"name":"Shanghai Clinical Medical Center of Neurosurgery; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiyu","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University;"},{"name":"National Center for Neurological Disorders;"},{"name":"Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration;"},{"name":"Neurosurgical Institute of Fudan University;"},{"name":"Shanghai Clinical Medical Center of Neurosurgery; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University;"},{"name":"National Center for Neurological Disorders;"},{"name":"Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration;"},{"name":"Neurosurgical Institute of Fudan University;"},{"name":"Shanghai Clinical Medical Center of Neurosurgery; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingtao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Huashan Hospital of Fudan University, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University;"},{"name":"National Center for Neurological Disorders;"},{"name":"Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration;"},{"name":"Neurosurgical Institute of Fudan University;"},{"name":"Shanghai Clinical Medical Center of Neurosurgery; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"8","key":"b1","series-title":"Acta Neurochir (Wien)","first-page":"1481","article-title":"Complex middle cerebral artery aneurysms: a new classification based on the angioarchitecture and surgical strategies","volume":"155","author":"Zhu W","year":"2013","unstructured":"Zhu W, Liu P, Tian Y,  Complex middle cerebral artery aneurysms: a new classification based on the angioarchitecture and surgical strategies. Acta Neurochir (Wien). 2013;155(8):1481\u20131491."},{"issue":"1","key":"b2","series-title":"Oper Neurosurg","first-page":"E44","article-title":"Creation of a middle communicating artery with external carotid artery-radial artery graft-M2 middle cerebral artery interpositional bypass and M2 middle cerebral artery-M2 middle cerebral artery reimplantation for a recurrent middle cerebral artery aneurysm: 2-dimensional operative video","volume":"20","author":"Frisoli FA","year":"2020","unstructured":"Frisoli FA, Catapano JS, Benner D, Lawton MTCreation of a middle communicating artery with external carotid artery-radial artery graft-M2 middle cerebral artery interpositional bypass and M2 middle cerebral artery-M2 middle cerebral artery reimplantation for a recurrent middle cerebral artery aneurysm: 2-dimensional operative video. Oper Neurosurg. 2020;20(1):E44\u2013E45."},{"issue":"5","key":"b3","series-title":"Oper Neurosurg","first-page":"E521","article-title":"Double-barrel superficial temporal artery-M2 middle cerebral artery bypass and creation of a middle communicating artery via M2-M2 end-to-end reimplantation for trapping of a dolichoectatic middle cerebral artery aneurysm: 2-dimensional operative video","volume":"19","author":"Catapano JS","year":"2020","unstructured":"Catapano JS, Frisoli FA, Cadigan MS, Farhadi DS, Nguyen CL, Lawton MTDouble-barrel superficial temporal artery-M2 middle cerebral artery bypass and creation of a middle communicating artery via M2-M2 end-to-end reimplantation for trapping of a dolichoectatic middle cerebral artery aneurysm: 2-dimensional operative video. Oper Neurosurg. 2020;19(5):E521\u2013E522."},{"key":"b4","first-page":"108645","article-title":"Long-term results and neuropathy of internal carotid artery aneurysms treated with high-flow bypass using saphenous vein graft and parent artery occlusion","volume":"248","author":"Morita S","year":"2025","unstructured":"Morita S, Yamaguchi K, Takayuki F, Moteki Y, Omura Y, Okada YLong-term results and neuropathy of internal carotid artery aneurysms treated with high-flow bypass using saphenous vein graft and parent artery occlusion. 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Front Neurol. 2020;11:614601."},{"issue":"2","key":"b7","series-title":"Acta Neurochir (Wien)","first-page":"483","article-title":"Reconstruction of both M2 blood flow with a \"Y\" fashion anastomosis after excision of a large M1 bifurcation aneurysm: advantages and challenges","volume":"165","author":"Liu P","year":"2023","unstructured":"Liu P, Shi Y, Li P, Zhu WReconstruction of both M2 blood flow with a \"Y\" fashion anastomosis after excision of a large M1 bifurcation aneurysm: advantages and challenges. Acta Neurochir (Wien). 2023;165(2):483\u2013488."},{"issue":"2","key":"b8","series-title":"Oper Neurosurg","first-page":"E147","article-title":"Excision of a large complex left middle cerebral artery aneurysm with a middle cerebral artery-middle cerebral artery and superficial temporal artery-middle cerebral artery bypass: 2-dimensional operative video","volume":"19","author":"Hendricks BK","year":"2020","unstructured":"Hendricks BK, Spetzler RFExcision of a large complex left middle cerebral artery aneurysm with a middle cerebral artery-middle cerebral artery and superficial temporal artery-middle cerebral artery bypass: 2-dimensional operative video. Oper Neurosurg. 2020;19(2):E147\u2013E148."},{"issue":"7","key":"b9","series-title":"J Stroke Cerebrovasc Dis","first-page":"104853","article-title":"Natural Y-shaped radial artery graft bypass for a complex middle cerebral artery aneurysm: a case report","volume":"29","author":"Sato R","year":"2020","unstructured":"Sato R, Mikami T, Suzuki H,  Natural Y-shaped radial artery graft bypass for a complex middle cerebral artery aneurysm: a case report. J Stroke Cerebrovasc Dis. 2020;29(7):104853."},{"issue":"9","key":"b10","series-title":"Neurol Med Chir (Tokyo)","first-page":"661","article-title":"Middle cerebral-anterior cerebral-radial artery interposition graft bypass for proximal anterior cerebral artery aneurysm","volume":"51","author":"Kazumata K","year":"2011","unstructured":"Kazumata K, Asaoka K, Yokoyama Y, Osanai T, Sugiyama T, Itamoto KMiddle cerebral-anterior cerebral-radial artery interposition graft bypass for proximal anterior cerebral artery aneurysm. Neurol Med Chir (Tokyo). 2011;51(9):661\u2013663."},{"issue":"1","key":"b11","series-title":"Oper Neurosurg","first-page":"84","article-title":"Intracranial-intracranial A1 ACA-SVG-M2 MCA+M2 MCA double reimplantation bypass for a giant middle cerebral artery aneurysm: 3-dimensional operative video","volume":"14","author":"Benet A","year":"2018","unstructured":"Benet A, Yousef S, Tabani H, Griswold D, Meybodi AT, Lawton MTIntracranial-intracranial A1 ACA-SVG-M2 MCA+M2 MCA double reimplantation bypass for a giant middle cerebral artery aneurysm: 3-dimensional operative video. Oper Neurosurg. 2018;14(1):84."},{"key":"b12","first-page":"e42","article-title":"Anterior cerebral artery bypass for complex aneurysms: advances in intracranial-intracranial bypass techniques","volume":"141","author":"Labib MA","year":"2020","unstructured":"Labib MA, Gandhi S, Cavallo C,  Anterior cerebral artery bypass for complex aneurysms: advances in intracranial-intracranial bypass techniques. World Neurosurg.2020;141:e42\u2013e54."},{"issue":"5","key":"b13","series-title":"Oper Neurosurg","first-page":"322","article-title":"Interposition intracranial-intracranial bypass based on anterior cerebral artery A1 donor anastomosis: technical advances, outcomes, and literature review","volume":"24","author":"Liu P","year":"2023","unstructured":"Liu P, Shi Y, Li Z,  Interposition intracranial-intracranial bypass based on anterior cerebral artery A1 donor anastomosis: technical advances, outcomes, and literature review. Oper Neurosurg. 2023;24(5):322\u2013329."},{"issue":"4","key":"b14","series-title":"Neurosurgery","first-page":"689","article-title":"Comparison of intra- and postoperative 3-dimensional digital subtraction angiography in evaluation of the surgical result after intracranial aneurysm treatment","volume":"87","author":"Marbacher S","year":"2020","unstructured":"Marbacher S, Kienzler JC, Mendelowitsch I,  Comparison of intra- and postoperative 3-dimensional digital subtraction angiography in evaluation of the surgical result after intracranial aneurysm treatment. Neurosurgery. 2020;87(4):689\u2013696."},{"issue":"7","key":"b15","series-title":"Acta Neurochir (Wien)","first-page":"1291","article-title":"Clipping of ruptured intracranial aneurysms in a hybrid room environment\u2014a case-control study","volume":"159","author":"Dammann P","year":"2017","unstructured":"Dammann P, J\u00e4gersberg M, Kulcsar Z, Radovanovic I, Schaller K, Bijlenga PClipping of ruptured intracranial aneurysms in a hybrid room environment\u2014a case-control study. Acta Neurochir (Wien). 2017;159(7):1291\u20131298."},{"issue":"1","key":"b16","series-title":"Neurosurg Rev","first-page":"32","article-title":"In situ interposition bypass for complex intracranial aneurysms: a single-center experience and efficacy analysis","volume":"47","author":"Zhang M","year":"2024","unstructured":"Zhang M, Wang X, Tong XIn situ interposition bypass for complex intracranial aneurysms: a single-center experience and efficacy analysis. Neurosurg Rev. 2024;47(1):32."},{"key":"b17","first-page":"123722","article-title":"Giant, unruptured, partially thrombosed right middle cerebral artery aneurysm treated with 2 bypasses and excision","volume":"195","author":"Tebha SS","year":"2025","unstructured":"Tebha SS, English MG, Meyer K, Ding D, Strohl MP, Abecassis IJGiant, unruptured, partially thrombosed right middle cerebral artery aneurysm treated with 2 bypasses and excision. World Neurosurg.2025;195:123722."},{"key":"b18","series-title":"Front Neurol","first-page":"1552610","article-title":"Tubridge flow diverter for the treatment of dissecting aneurysms in the middle cerebral artery","volume":"16","author":"Duan Y","year":"2025","unstructured":"Duan Y, Huang G, Shen J,  Tubridge flow diverter for the treatment of dissecting aneurysms in the middle cerebral artery. Front Neurol. 2025;16:1552610."},{"issue":"5","key":"b19","series-title":"Neuroradiology","first-page":"1263","article-title":"Pipeline embolization device in treating middle cerebral artery aneurysms: a single-center experience in 69 consecutive patients","volume":"67","author":"Zhu H","year":"2025","unstructured":"Zhu H, Zhang J, Liu L,  Pipeline embolization device in treating middle cerebral artery aneurysms: a single-center experience in 69 consecutive patients. Neuroradiology. 2025;67(5):1263\u20131272."},{"issue":"3","key":"b20","series-title":"Exp Ther Med","first-page":"2072","article-title":"Comparison of endovascular treatment for middle cerebral artery aneurysm with a low-profile visualized intraluminal support stent or pipeline embolization device","volume":"18","author":"Lu P","year":"2019","unstructured":"Lu P, Zhang Y, Niu H, Wang YComparison of endovascular treatment for middle cerebral artery aneurysm with a low-profile visualized intraluminal support stent or pipeline embolization device. Exp Ther Med. 2019;18(3):2072\u20132078."},{"issue":"8","key":"b1","series-title":"Acta Neurochir (Wien)","first-page":"1481","article-title":"Complex middle cerebral artery aneurysms: a new classification based on the angioarchitecture and surgical strategies","volume":"155","author":"Zhu W","year":"2013","unstructured":"Zhu W, Liu P, Tian Y,  Complex middle cerebral artery aneurysms: a new classification based on the angioarchitecture and surgical strategies. Acta Neurochir (Wien). 2013;155(8):1481\u20131491."},{"issue":"1","key":"b2","series-title":"Oper Neurosurg","first-page":"E44","article-title":"Creation of a middle communicating artery with external carotid artery-radial artery graft-M2 middle cerebral artery interpositional bypass and M2 middle cerebral artery-M2 middle cerebral artery reimplantation for a recurrent middle cerebral artery aneurysm: 2-dimensional operative video","volume":"20","author":"Frisoli FA","year":"2020","unstructured":"Frisoli FA, Catapano JS, Benner D, Lawton MTCreation of a middle communicating artery with external carotid artery-radial artery graft-M2 middle cerebral artery interpositional bypass and M2 middle cerebral artery-M2 middle cerebral artery reimplantation for a recurrent middle cerebral artery aneurysm: 2-dimensional operative video. Oper Neurosurg. 2020;20(1):E44\u2013E45."},{"issue":"5","key":"b3","series-title":"Oper Neurosurg","first-page":"E521","article-title":"Double-barrel superficial temporal artery-M2 middle cerebral artery bypass and creation of a middle communicating artery via M2-M2 end-to-end reimplantation for trapping of a dolichoectatic middle cerebral artery aneurysm: 2-dimensional operative video","volume":"19","author":"Catapano JS","year":"2020","unstructured":"Catapano JS, Frisoli FA, Cadigan MS, Farhadi DS, Nguyen CL, Lawton MTDouble-barrel superficial temporal artery-M2 middle cerebral artery bypass and creation of a middle communicating artery via M2-M2 end-to-end reimplantation for trapping of a dolichoectatic middle cerebral artery aneurysm: 2-dimensional operative video. Oper Neurosurg. 2020;19(5):E521\u2013E522."},{"key":"b4","first-page":"108645","article-title":"Long-term results and neuropathy of internal carotid artery aneurysms treated with high-flow bypass using saphenous vein graft and parent artery occlusion","volume":"248","author":"Morita S","year":"2025","unstructured":"Morita S, Yamaguchi K, Takayuki F, Moteki Y, Omura Y, Okada YLong-term results and neuropathy of internal carotid artery aneurysms treated with high-flow bypass using saphenous vein graft and parent artery occlusion. Clin Neurol Neurosurg.2025;248:108645."},{"issue":"12","key":"b5","series-title":"Acta Neurochir (Wien)","first-page":"3209","article-title":"Left middle cerebral artery M1-2 segment dissecting aneurysm resection and reanastomosis under double-barrel STA-MCA bypass protection","volume":"164","author":"Liu P","year":"2022","unstructured":"Liu P, Shi Y, An Q, Zhu WLeft middle cerebral artery M1-2 segment dissecting aneurysm resection and reanastomosis under double-barrel STA-MCA bypass protection. Acta Neurochir (Wien). 2022;164(12):3209\u20133213."},{"key":"b6","series-title":"Front Neurol","first-page":"614601","article-title":"A hybrid strategy for patients with complex cerebral aneurysm: STA-MCA bypass in combination with endovascular embolization","volume":"11","author":"Wang G","year":"2020","unstructured":"Wang G, Zhang X, Gou Y,  A hybrid strategy for patients with complex cerebral aneurysm: STA-MCA bypass in combination with endovascular embolization. Front Neurol. 2020;11:614601."},{"issue":"2","key":"b7","series-title":"Acta Neurochir (Wien)","first-page":"483","article-title":"Reconstruction of both M2 blood flow with a \"Y\" fashion anastomosis after excision of a large M1 bifurcation aneurysm: advantages and challenges","volume":"165","author":"Liu P","year":"2023","unstructured":"Liu P, Shi Y, Li P, Zhu WReconstruction of both M2 blood flow with a \"Y\" fashion anastomosis after excision of a large M1 bifurcation aneurysm: advantages and challenges. Acta Neurochir (Wien). 2023;165(2):483\u2013488."},{"issue":"2","key":"b8","series-title":"Oper Neurosurg","first-page":"E147","article-title":"Excision of a large complex left middle cerebral artery aneurysm with a middle cerebral artery-middle cerebral artery and superficial temporal artery-middle cerebral artery bypass: 2-dimensional operative video","volume":"19","author":"Hendricks BK","year":"2020","unstructured":"Hendricks BK, Spetzler RFExcision of a large complex left middle cerebral artery aneurysm with a middle cerebral artery-middle cerebral artery and superficial temporal artery-middle cerebral artery bypass: 2-dimensional operative video. Oper Neurosurg. 2020;19(2):E147\u2013E148."},{"issue":"7","key":"b9","series-title":"J Stroke Cerebrovasc Dis","first-page":"104853","article-title":"Natural Y-shaped radial artery graft bypass for a complex middle cerebral artery aneurysm: a case report","volume":"29","author":"Sato R","year":"2020","unstructured":"Sato R, Mikami T, Suzuki H,  Natural Y-shaped radial artery graft bypass for a complex middle cerebral artery aneurysm: a case report. J Stroke Cerebrovasc Dis. 2020;29(7):104853."},{"issue":"9","key":"b10","series-title":"Neurol Med Chir (Tokyo)","first-page":"661","article-title":"Middle cerebral-anterior cerebral-radial artery interposition graft bypass for proximal anterior cerebral artery aneurysm","volume":"51","author":"Kazumata K","year":"2011","unstructured":"Kazumata K, Asaoka K, Yokoyama Y, Osanai T, Sugiyama T, Itamoto KMiddle cerebral-anterior cerebral-radial artery interposition graft bypass for proximal anterior cerebral artery aneurysm. Neurol Med Chir (Tokyo). 2011;51(9):661\u2013663."},{"issue":"1","key":"b11","series-title":"Oper Neurosurg","first-page":"84","article-title":"Intracranial-intracranial A1 ACA-SVG-M2 MCA+M2 MCA double reimplantation bypass for a giant middle cerebral artery aneurysm: 3-dimensional operative video","volume":"14","author":"Benet A","year":"2018","unstructured":"Benet A, Yousef S, Tabani H, Griswold D, Meybodi AT, Lawton MTIntracranial-intracranial A1 ACA-SVG-M2 MCA+M2 MCA double reimplantation bypass for a giant middle cerebral artery aneurysm: 3-dimensional operative video. Oper Neurosurg. 2018;14(1):84."},{"key":"b12","first-page":"e42","article-title":"Anterior cerebral artery bypass for complex aneurysms: advances in intracranial-intracranial bypass techniques","volume":"141","author":"Labib MA","year":"2020","unstructured":"Labib MA, Gandhi S, Cavallo C,  Anterior cerebral artery bypass for complex aneurysms: advances in intracranial-intracranial bypass techniques. World Neurosurg.2020;141:e42\u2013e54."},{"issue":"5","key":"b13","series-title":"Oper Neurosurg","first-page":"322","article-title":"Interposition intracranial-intracranial bypass based on anterior cerebral artery A1 donor anastomosis: technical advances, outcomes, and literature review","volume":"24","author":"Liu P","year":"2023","unstructured":"Liu P, Shi Y, Li Z,  Interposition intracranial-intracranial bypass based on anterior cerebral artery A1 donor anastomosis: technical advances, outcomes, and literature review. Oper Neurosurg. 2023;24(5):322\u2013329."},{"issue":"4","key":"b14","series-title":"Neurosurgery","first-page":"689","article-title":"Comparison of intra- and postoperative 3-dimensional digital subtraction angiography in evaluation of the surgical result after intracranial aneurysm treatment","volume":"87","author":"Marbacher S","year":"2020","unstructured":"Marbacher S, Kienzler JC, Mendelowitsch I,  Comparison of intra- and postoperative 3-dimensional digital subtraction angiography in evaluation of the surgical result after intracranial aneurysm treatment. Neurosurgery. 2020;87(4):689\u2013696."},{"issue":"7","key":"b15","series-title":"Acta Neurochir (Wien)","first-page":"1291","article-title":"Clipping of ruptured intracranial aneurysms in a hybrid room environment\u2014a case-control study","volume":"159","author":"Dammann P","year":"2017","unstructured":"Dammann P, J\u00e4gersberg M, Kulcsar Z, Radovanovic I, Schaller K, Bijlenga PClipping of ruptured intracranial aneurysms in a hybrid room environment\u2014a case-control study. Acta Neurochir (Wien). 2017;159(7):1291\u20131298."},{"issue":"1","key":"b16","series-title":"Neurosurg Rev","first-page":"32","article-title":"In situ interposition bypass for complex intracranial aneurysms: a single-center experience and efficacy analysis","volume":"47","author":"Zhang M","year":"2024","unstructured":"Zhang M, Wang X, Tong XIn situ interposition bypass for complex intracranial aneurysms: a single-center experience and efficacy analysis. Neurosurg Rev. 2024;47(1):32."},{"key":"b17","first-page":"123722","article-title":"Giant, unruptured, partially thrombosed right middle cerebral artery aneurysm treated with 2 bypasses and excision","volume":"195","author":"Tebha SS","year":"2025","unstructured":"Tebha SS, English MG, Meyer K, Ding D, Strohl MP, Abecassis IJGiant, unruptured, partially thrombosed right middle cerebral artery aneurysm treated with 2 bypasses and excision. World Neurosurg.2025;195:123722."},{"key":"b18","series-title":"Front Neurol","first-page":"1552610","article-title":"Tubridge flow diverter for the treatment of dissecting aneurysms in the middle cerebral artery","volume":"16","author":"Duan Y","year":"2025","unstructured":"Duan Y, Huang G, Shen J,  Tubridge flow diverter for the treatment of dissecting aneurysms in the middle cerebral artery. Front Neurol. 2025;16:1552610."},{"issue":"5","key":"b19","series-title":"Neuroradiology","first-page":"1263","article-title":"Pipeline embolization device in treating middle cerebral artery aneurysms: a single-center experience in 69 consecutive patients","volume":"67","author":"Zhu H","year":"2025","unstructured":"Zhu H, Zhang J, Liu L,  Pipeline embolization device in treating middle cerebral artery aneurysms: a single-center experience in 69 consecutive patients. Neuroradiology. 2025;67(5):1263\u20131272."},{"issue":"3","key":"b20","series-title":"Exp Ther Med","first-page":"2072","article-title":"Comparison of endovascular treatment for middle cerebral artery aneurysm with a low-profile visualized intraluminal support stent or pipeline embolization device","volume":"18","author":"Lu P","year":"2019","unstructured":"Lu P, Zhang Y, Niu H, Wang YComparison of endovascular treatment for middle cerebral artery aneurysm with a low-profile visualized intraluminal support stent or pipeline embolization device. Exp Ther Med. 2019;18(3):2072\u20132078."}],"container-title":["Neurosurgical Focus"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/59\/6\/article-pE13.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/59\/6\/article-pE13.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/59\/6\/article-pE13.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T08:16:07Z","timestamp":1780128967000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/59\/6\/article-pE13.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,1]]},"references-count":40,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/2025.9.focus25589","relation":{},"ISSN":["1092-0684"],"issn-type":[{"value":"1092-0684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,1]]}}}