====== p48 MW ====== https://www.phenox.net/fileadmin/uploads/Brochures/p48_KIF-0057A_HR.pdf [[Flow diverter]] (FD) is increasingly used in the management of [[wide-neck intracranial aneurysm]]s. Despite a reported lower efficacy in [[middle cerebral artery aneurysm]]s, they are still being utilized. [[Microsurgery]] is best considered as an index treatment, but can also be a safe and effective treatment when encountering a persistent MCA aneurysm after prior FD. As there is a paucity of literature and more cases of failed FD are expected to appear, Veken et al. want to add the experience to the existing literature. The microsurgical management of a persistent MCA bifurcation aneurysm, 3 years after a [[p48 MW]] HPC Flow Diverter ([[phenox]] GmbH, Bochum Germany) insertion is reported, and the relevant literature discussed ((Veken JV, Keukeleire K. Clipping of a persistent middle cerebral artery aneurysm after previous flow diverter placement: An illustrative case and review of the literature. J Cerebrovasc Endovasc Neurosurg. 2024 Jan 31. doi: 10.7461/jcen.2024.E2023.09.002. Epub ahead of print. PMID: 38291255.))