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Updated: Jul 20, 2026
Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Is extracranial-intracranial bypass surgery effective in certain patients?
Sepideh Amin-Hanjani1, Fady T Charbel
1Department of Neurosurgery, University of Illinois at Chicago, Neuropsychiatric Institute (MC 799), 912 South Wood Street, Chicago, IL 60612, USA. hanjani@uic.edu
Abstract:
The role of surgical revascularization for patients who have ischemic disease remains controversial. Despite the previous EC-IC bypass trial that failed to demonstrate the benefit from STA-MCA bypass compared with medical therapy, however, there is mounting evidence that the procedure should be considered in selected patients. Bypass remains a mainstay of treatment in moyamoya disease and in flow replacement in the setting of planned vessel sacrifice.