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1%; both ruptured); (P= 0.709). Bypass-related complications occurred only in patients with ruptured aneurysm (2 [8.3%] in the EC-IC group and 0 [0%] in the IC-IC group; P= 0.285). For unruptured aneurysms, the overall complication rate was lower in IC-IC compared with the EC-IC group (P= 0.006). Modified Rankin Scale scores on discharge were significantly lower in IC-IC compared with EC-IC bypass for unruptured aneurysms (P= 0.008). There was a trend for shorter temporary occlusion and hospitalization times and overall better outcome