Document Detail


Operative nuances of side-to-side in situ posterior inferior cerebellar artery-posterior inferior cerebellar artery bypass procedure.
MedLine Citation:
PMID:  21099574     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: An intracranial posterior circulation revascularization procedure in the form of a side-to-side in situ posterior inferior cerebellar artery (PICA)-PICA bypass operation was introduced in 1991. This elegant and apparently low-risk operation is performed infrequently. Thus, the operative nuances used in this procedure have not been well reported, limiting the scope of treatment modalities of vertebral artery-PICA aneurysms and vertebral dissections.
OBJECTIVE: To repair an incidental right-sided PICA aneurysm noted in a 51-year-old woman in magnetic resonance imaging and subsequent angiography.
METHODS: The patient underwent side-to-side in situ PICA-PICA bypass surgery.
RESULTS: Immediate indocyanine green angiography suggested that the PICA distal to the aneurysms was filling in a retrograde fashion through the bypass. On the following day, the patient was taken for coil embolization of the aneurysm. However, angiography images revealed that the aneurysm was spontaneously thrombosed, the proximal PICA was patent, and the PICA distal to the aneurysms was filling in a retrograde fashion, as suspected in intraoperative indocyanine green angiography. No further treatments were done. The patient recovered fully.
CONCLUSION: We describe in detail the preoperative evaluation, decision process, and operative techniques for a side-to-side in situ PICA-PICA bypass operation, which is a relatively safe and elegant posterior circulation bypass procedure.
Authors:
Miikka Korja; Chandranath Sen; David Langer
Related Documents :
483154 - Treatment of ruptured and unruptured internal carotid artery aneurysms.
12132094 - Malignant epithelioid hemangioendothelioma presenting as an aneurysm of the superficial...
19001644 - Infected (mycotic) aneurysms: spectrum of imaging appearances and management.
14520544 - Value of the quantity and distribution of subarachnoid haemorrhage on ct in the localiz...
21392264 - A case of berry syndrome type 2b.
22585564 - Strategies in the treatment of distal cerebellar aneurysms: report of a series of 11 pa...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  67     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  471-7     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Helsinki University Central Hospital, Helsinki, Finland. miikka.korja@hus.fi
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Transient adenosine-induced asystole during the surgical treatment of anterior circulation cerebral ...
Next Document:  Vidian nerve transposition for endoscopic endonasal middle fossa approaches.