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Acta Neurochirurgica

, Volume 155, Issue 11, pp 2121–2125 | Cite as

How I Do it: side to side posterior inferior cerebellar artery –posterior inferior cerebellar artery bypass procedure

  • Amir R. DehdashtiEmail author
How I Do it - Vascular

Abstract

Background

An intracranial in situ side to side posterior circulation procedure is performed infrequently. The scope of treatment modalities of vertebral artery-PICA aneurysms and vertebral dissections is limited due to the lack of many representations of this procedure’s technical nuances.

Methods

To demonstrate the technical nuances of a PICA-PICA side to side bypass in a 50-year-old woman with a dissecting vertebral-PICA junction pseudoaneurysm.

Conclusion

Details of the pre-operative evaluation, decision process and operative nuances of side to side PICA-PICA bypass are described. Indications and limitations are emphasized. Vascular neurosurgeons should consider this elegant procedure in their treatment armamentarium.

Keywords

PICA Revascularization Side to side Posterior fossa Bypass 

Notes

Conflicts of interest

None.

Supplementary material

ESM 1

(MOV 185265 kb)

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Copyright information

© Springer-Verlag Wien 2013

Authors and Affiliations

  1. 1.Department of Neurosurgery, Cushing Neuroscience InstituteNorthshore University HospitalManhassetUSA

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