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Updated: Jun 8, 2025
Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
How I do It: High flow EC-IC bypass for complex middle cerebral artery aneurysms using the lateral circumflex femoral
Ladina Greuter1, Heather Baltzer2, Ivan Radovanovic1
1Division of Neurosurgery, Department of Surgery, University Health Network (UHN), Toronto, ON M5T 2S8, Canada.
Background:
High-flow bypasses with parent vessel occlusion are required for complex aneurysms originating from the ICA or MCA. Traditional graft options are the saphenous vein however, it has a higher rate of thrombus formation than an arterial graft. The radial artery is commonly used, however, tapers in its distal course and is contraindicated in some patients while the lateral circumflex femoral artery is an excellent graft vessel and easy to harvest.
Method:
We present our technique and experience harvesting the lateral circumflex femoral artery as an alternative graft vessel for high-flow bypasses.
Conclusion:
The lateral circumflex femoral artery is easy to harvest and is a reliable graft vessel for high-flow bypasses for complex aneurysms.
