Dual Revascularization of Both M2 Divisions with Imax-Radial Artery and Sta Bypass for Giant Fusiform Aneurysm
Abstract
This video presents the microsurgical treatment of a giant fusiform aneurysm of the middle cerebral artery in a 74-year-old patient. The surgical strategy included aneurysm trapping with double bypass: a high-flow bypass using the internal maxillary artery and radial artery graft, and a low-flow bypass using the superficial temporal artery. A fronto-orbito-zygomatic approach was performed. Intraoperative ICG and Doppler confirmed complete aneurysm exclusion and robust distal perfusion. Postoperative imaging showed near-complete thrombosis without neurological deficits. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Intracranial Aneurysms: Treatment and Complications
Moyamoya disease diagnosis and treatment
Cerebrovascular and Carotid Artery Diseases
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN