{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T01:54:15Z","timestamp":1780624455805,"version":"3.54.1"},"reference-count":15,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1998,9]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Giant middle cerebral artery (MCA) trifurcation aneurysms that cannot be excluded directly can be treated by flow inversion achieved by creation of an extracranial\u2014intracranial bypass distal to the aneurysm, followed by occlusion of the parent vessel proximal to the aneurysm. As opposed to surgical occlusion, endovascular occlusion avoids dissection of the aneurysm area, and the site of occlusion can be chosen according to the flow distribution demonstrated on angiography performed during test occlusions.<\/jats:p>\n<jats:p content-type=\"fine-print\">Two patients with giant aneurysms of the MCA trifurcation benefited from flow inversion treatment. Forty-eight hours after an MCA\u2014superficial temporal artery bypass had been created, the M<jats:sub>1<\/jats:sub> segment was occluded by inserting a coil in the first patient and the internal carotid artery was occluded with balloons in the second patient (there was no communicating artery in the latter case). Both occlusions were performed immediately after a clinical test of occlusion tolerance.<\/jats:p>\n<jats:p content-type=\"fine-print\">The patients were clinically intact during the postoperative course. Follow-up angiography performed 11 and 4 months, respectively, after vessel occlusion showed that the aneurysm occlusion was stable.<\/jats:p>","DOI":"10.3171\/jns.1998.89.3.0474","type":"journal-article","created":{"date-parts":[[2009,6,16]],"date-time":"2009-06-16T02:14:54Z","timestamp":1245118494000},"page":"474-478","source":"Crossref","is-referenced-by-count":30,"title":["Giant aneurysms of the middle cerebral artery trifurcation treated with extracranial\u2014intracranial arterial bypass and endovascular occlusion"],"prefix":"10.3171","volume":"89","author":[{"given":"Alain","family":"Weill","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Cognard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Levy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"Robert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Moret","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","first-page":"255","volume":"7","author":"Ammerman BJ","year":"1977","journal-title":"Surg Neurol"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199208000-00025"},{"key":"b3","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1007\/BF01401850","volume":"125","author":"Borzone M","year":"1993","journal-title":"Acta Neurochir"},{"key":"b4","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1161\/01.STR.12.3.273","volume":"12","author":"Drake CG","year":"1981","journal-title":"Stroke"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1994.81.5.0656"},{"key":"b6","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1016\/S0090-3019(96)00453-3","volume":"47","author":"Ezura M","year":"1997","journal-title":"Surg Neurol"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1991.75.5.0694"},{"key":"b8","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.1227\/00006123-199406000-00019","volume":"34","author":"Isla A","year":"1994","journal-title":"Neurosurgery"},{"key":"b9","unstructured":"Lasjaunias P, Berenstein A:Surgical Neuroangiography.Berlin: Springer-Verlag, 1990, Vol 3, pp 111\u2013151"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199601000-00020"},{"key":"b11","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1177\/19714009940070S413","volume":"7","author":"Mercier P","year":"1994","journal-title":"Riv Neuroradiol"},{"key":"b12","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199601000-00002"},{"key":"b13","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-198205000-00010"},{"key":"b14","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1996.84.1.0063"},{"key":"b15","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/0090-3019(84)90224-6","volume":"22","author":"Tognetti F","year":"1984","journal-title":"Surg Neurol"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/89\/3\/article-p474.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/89\/3\/article-p474.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/89\/3\/article-p474.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,28]],"date-time":"2022-05-28T03:29:59Z","timestamp":1653708599000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/89\/3\/article-p474.xml"}},"subtitle":["Report of Two Cases"],"short-title":[],"issued":{"date-parts":[[1998,9]]},"references-count":15,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/jns.1998.89.3.0474","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1998,9]]}}}