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

被引：18

作者：

Nossek, Erez ^{[1
,2
]}

Chalif, David J. ^{[1
,2
]}

Dehdashti, Amir R. ^{[1
,2
]}

机构：

[1] Hofstra North Shore Long Isl Jewish Sch Med, Dept Neurosurg, Manhasset, NY 11030 USA

[2] N Shore Univ Hosp, Manhasset, NY USA

来源：

ACTA NEUROCHIRURGICA | 2014年 / 156卷 / 05期

关键词：

Cerebral bypass; Occipital artery; PICA; Revascularization; Cerebral aneurysm; TECHNICAL CASE-REPORT; MICROSURGICAL ANATOMY; REVASCULARIZATION; CIRCULATION; ANEURYSM;

D O I：

10.1007/s00701-014-2041-9

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：971 / 975

页数：5

共 10 条

[1] Trapping and revascularization for a dissecting aneurysm of the proximal posteroinferior cerebellar artery: Technical case report and review of the literature [J].

Ali, MJ ;

Bendok, BR ;

Tawk, RG ;

Getch, CC ;

Batjer, HH .

NEUROSURGERY, 2002, 51 (01) :258-262

[2] The occipital artery for posterior circulation bypass: microsurgical anatomy [J].

Ates, Oezkan ;

Ahmed, Azam S. ;

Niemann, David ;

Baskaya, Mustafa K. .

NEUROSURGICAL FOCUS, 2008, 24 (02)

[3]

Benes L, 2006, NEUROSURGERY, V59, P166

[4] Operative nuances of an occipital artery to posterior inferior cerebellar artery bypass [J].

Crowley, R. Webster ;

Medel, Ricky ;

Dumont, Aaron S. .

NEUROSURGICAL FOCUS, 2009, 26 (05) :E19

[5] Vertebral artery-posterior inferior cerebellar artery bypass using a radial artery graft for hemorrhagic dissecting vertebral artery aneurysms: surgical technique and report of 2 cases [J].

Czabanka, Marcus ;

Ali, Muhammad ;

Schmiedek, Peter ;

Vajkoczy, Peter ;

Lawton, Michael T. .

JOURNAL OF NEUROSURGERY, 2011, 114 (04) :1074-1079

[6]

Dehdashti AR, 2013, ACTA NEUROCHIR

[7] A Safe and Effective Technique for Harvesting the Occipital Artery for Posterior Fossa Bypass Surgery: A Cadaveric Study [J].

Fukuda, Hitoshi ;

Evins, Alexander I. ;

Burrell, Justin C. ;

Stieg, Philip E. ;

Bernardo, Antonio .

WORLD NEUROSURGERY, 2014, 82 (3-4) :E459-E465

[8] Microsurgical anatomy of cerebral revascularization. Part II: Posterior circulation [J].

Kawashima, M ;

Rhoton, AL ;

Tanriover, N ;

Ulm, AJ ;

Yasuda, A ;

Fujii, K .

JOURNAL OF NEUROSURGERY, 2005, 102 (01) :132-147

[9] Dissecting aneurysms of the posterior inferior cerebellar artery: retrospective evaluation of management and extended follow-up review in 6 patients [J].

Nussbaum, Eric S. ;

Madison, Michael T. ;

Myers, Mark E. ;

Goddard, James ;

Janjua, Tariq .

JOURNAL OF NEUROSURGERY, 2008, 109 (01) :23-27

[10]

Sundt Jr TM, 1994, SUNDTS OCCLUSIVE CER, P456

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