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

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