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Microsurgery is best considered as an index treatment, but can also be a safe and effective treatment when encountering a persistent MCA aneurysm after prior FD. As there is a paucity in literature and more cases of failed FD are expected to appear, we want to add our experience to the existing literature. The microsurgical management of a persistent MCA bifurcation aneurysm, 3 years after a p48 MW HPC Flow Diverter (phenox GmbH, Bochum Germany) insertion is reported and the relevant literature discussed.<\/jats:p>","DOI":"10.7461\/jcen.2024.e2023.09.002","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T04:12:26Z","timestamp":1706674346000},"page":"338-343","update-policy":"https:\/\/doi.org\/10.7461\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clipping of a persistent middle cerebral artery aneurysm after previous flow diverter placement: An illustrative case and review of the literature"],"prefix":"10.7461","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8351-1978","authenticated-orcid":true,"given":"Jorn Van Der","family":"Veken","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrien De","family":"Keukeleire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4334","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1177\/1591019915617313"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.2174\/1567202617999201125202131"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3171\/2015.6.jns15311"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1227\/neu.0b013e31820d5396"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyz305"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-015-2593-3"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.a4807"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.a5388"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.a6002"},{"key":"ref10","first-page":"jnis-2023-020397","volume-title":"Two year follow-up of distal unruptured intracranial aneurysms treated with a surface modified flow diverter under prasugrel monotherapy","author":"de Castro-Afonso","year":"2023"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2020-017262"},{"key":"ref12","first-page":"1112","volume-title":"Flow diversion for middle cerebral artery aneurysms: An international cohort study","author":"Diestro","year":"2021"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.7461\/jcen.2013.15.3.241"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-020-02389-w"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1177\/15910199221111284"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyz334"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.08.121"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2022.106760"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.12.118"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2015.11.073"}],"container-title":["Journal of Cerebrovascular and Endovascular Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/the-jcen.org\/upload\/pdf\/jcen-2024-e2023-09-002.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/the-jcen.org\/journal\/view.php?doi=10.7461\/jcen.2024.E2023.09.002","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/the-jcen.org\/upload\/pdf\/jcen-2024-e2023-09-002.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T01:04:47Z","timestamp":1727658287000},"score":1,"resource":{"primary":{"URL":"http:\/\/the-jcen.org\/journal\/view.php?doi=10.7461\/jcen.2024.E2023.09.002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,30]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,9]]}},"URL":"https:\/\/doi.org\/10.7461\/jcen.2024.e2023.09.002","relation":{},"ISSN":["2234-8565","2287-3139"],"issn-type":[{"value":"2234-8565","type":"print"},{"value":"2287-3139","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,30]]},"assertion":[{"value":"2023-09-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-31","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-30","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}