Combined microsurgical PICA-PICA bypass and endovascular parent artery occlusion for a ruptured dissecting vertebral artery aneurysm

Robert M. Starke, Dale Ding, Christopher R. Durst, R. Webster Crowley, Kenneth C. Liu

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Dissecting vertebral artery (VA) aneurysms are difficult to obliterate when the parent artery cannot be safely occluded. In this video, we demonstrate a combined microsurgical and endovascular treatment technique for a ruptured, dissecting VA aneurysm incorporating the origin of the posterior inferior cerebellar artery (PICA). We first performed a PICA-PICA side-to-side bypass to preserve flow through the right PICA. An endovascular approach was then utilized to embolize the proximal portion of the aneurysm from the right VA and the distal portion of the aneurysm from the left VA.

Original languageEnglish (US)
Article numberV3
JournalNeurosurgical focus
Volume38
DOIs
StatePublished - Jan 1 2015

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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