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      Current management of middle cerebral artery aneurysms: surgical results with a "clip first" policy.

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          Abstract

          One response to randomized trials like the International Subarachnoid Aneurysm Trial has been to adopt a "coil first" policy, whereby all aneurysms be considered for coiling, reserving surgery for unfavorable aneurysms or failed attempts. Surgical results with middle cerebral artery (MCA) aneurysms have been excellent, raising debate about the respective roles of surgical and endovascular therapy.

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          Author and article information

          Journal
          Neurosurgery
          Neurosurgery
          1524-4040
          0148-396X
          Mar 2013
          : 72
          : 3
          Affiliations
          [1 ] Department of Neurological Surgery, University of California at San Francisco, San Francisco, California 94143, USA.
          Article
          10.1227/NEU.0b013e3182804aa2
          23208060

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