How I do it: occipital artery to posterior inferior cerebellar artery bypass

Publication Date

2014

Journal Title

Acta Neurochir (Wien)

Abstract

Aneurysms located at the proximal posterior inferior cerebellar artery (PICA) may need to be addressed by trapping and concomitant bypass. An anastomosis of the Occipital Artery (OA) to PICA is one bypass option in these cases. This bypass is highly challenging and its technical description is seldom cited in the literature. We describe the technical nuances of an OA-PICA end-to-side bypass in a 63-year-old man with a dissecting ruptured aneurysm of the third segment (tonsilomedullary) of the PICA. OA-PICA bypass option should remain as a treatment modality in the armamentarium of neurovascular surgeons.

Volume Number

156

Issue Number

5

Pages

971-975

Document Type

Article

EPub Date

2014/03/13

Status

Faculty

Facility

School of Medicine

Primary Department

Neurosurgery

PMID

24610451

DOI

10.1007/s00701-014-2041-9

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