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. Author manuscript; available in PMC: 2017 Jul 1.
Published in final edited form as: Neurosurgery. 2016 Jul;79(1):83–99. doi: 10.1227/NEU.0000000000001175

Table 1.

Summary of phases of management of dolichoectatic basilar trunk aneurysms.

Phase 1 Phase 2 Phase 3
Exposure OZ/Subtemporal Far Lateral/Subtemporal OZ/Pretemporal
Bypass EC-IC: STA-SCA, STA-PCA IC-IC: V3 VA-SCA IC-IC: MCA-PCA
Aneurysm Occlusion Endovascular (proximal, staged) Surgical (proximal, dominant VA) Surgical (distal, basilar artery)
Basilar Flow Retrograde Anterograde Anterograde
Hemodynamic Alteration Reversal Reduction (mild – moderate) Reduction (severe)
Postoperative Management ASA, Heparin ASA ASA, Plavix