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Diagnostic reliability of the Berlin classification for complex MCA aneurysms—usability in a series of only giant aneurysms

Wessels, Lars ; Fekonja, Lucius Samo ; Achberger, Johannes ; Dengler, Julius ; Czabanka, Marcus ; Hecht, Nils ; Schneider, Ulf ; Tkatschenko, Dimitri ; Schebesch, Karl-Michael ; Schmidt, Nils Ole ; Mielke, Dorothee ; Hosch, Henning ; Ganslandt, Oliver ; Gräwe, Alexander ; Hong, Bujung ; Walter, Jan ; Güresir, Erdem ; Bijlenga, Philippe ; Haemmerli, Julien ; Maldaner, Nicolai ; Marbacher, Serge ; Nurminen, Ville ; Zitek, Hynek ; Dammers, Ruben ; Kato, Naoki ; Linfante, Italo ; Pedro, Maria-Teresa ; Wrede, Karsten ; Wang, Wei-Te ; Wostrack, Maria ; Vajkoczy, Peter




Abstract

Background and objective The main challenge of bypass surgery of complex MCA aneurysms is not the selection of the bypass type but the initial decision-making of how to exclude the affected vessel segment from circulation. To this end, we have previously proposed a classification for complex MCA aneurysms based on the preoperative angiography. The current study aimed to validate this new ...

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