Treatment of a Partially Thrombosed Giant Aneurysm of the Vertebral Artery by Aneurysm Trapping and Direct Vertebral Artery-posterior Inferior Cerebellar Artery End-to-end Anastomosis: Technical Case Report

2006 ◽  
Vol 59 (suppl_1) ◽  
pp. ONS-E166-ONS-E167 ◽  
Author(s):  
Ludwig Benes ◽  
Christoph Kappus ◽  
Ulrich Sure ◽  
Helmut Bertalanffy

Abstract Supplemental Digital Content is Available in the Text.

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Oded Goren ◽  
Raghuram Sampath ◽  
Akshal S Patel ◽  
Christoph J Griessenauer ◽  
Clemens M Schirmer ◽  
...  

ABSTRACT BACKGROUND AND IMPORTANCE The Coupler microanastomotic device (Medical Companies Alliance, Birmingham, Alabama) aims at facilitating safe and efficient end-to-end reconstruction of the native vessel ends following resection of intracranial aneurysms. CLINICAL PRESENTATION We report the first case of the Coupler device used to treat a ruptured posterior inferior cerebellar artery (PICA) aneurysm. Following aneurysmal trapping and excision, the native parent vessel ends were connected in an end-to-end fashion. CONCLUSION The microanastomotic Coupler device is an acceptable option for end-to-end anastomosis and was successfully applied in the management of a ruptured fusiform PICA aneurysm.


2003 ◽  
Vol 43 (6) ◽  
pp. 301-303 ◽  
Author(s):  
Yoshinori TAMANO ◽  
Tomonori KOBAYASHI ◽  
Shinji HAGIWARA ◽  
Noriko TANAKA ◽  
Mitsunobu IDE ◽  
...  

2014 ◽  
Vol 8 (1) ◽  
Author(s):  
Domenico Murrone ◽  
Danilo De Paulis ◽  
Massimo Gallieni ◽  
Mattia Del Maestro ◽  
Alessandro Ricci ◽  
...  

2005 ◽  
Vol 63 (2a) ◽  
pp. 335-338 ◽  
Author(s):  
Ricardo Ramina ◽  
Viviane Aline Buffon ◽  
Jerônimo Buzetti Milano ◽  
Erasmo Barros da Silva Jr ◽  
Kelly Cristina Bordignon

The majority of posterior inferior cerebellar artery (PICA) aneurysms are usually found on the bifurcation of the vertebral artery (VA) - PICA junction. Aneurysms arising from more peripheral PICA segments named distal PICA aneurysm are uncommon. The major clinical manifestation is that of an intracranial bleeding and the site of hemorrhage is related to the PICA segment originating the aneurysm. Lesions originating from distal PICA segments, particularly those arising from the telovelotonsillar segment, are associated with hemorrhage extending into the ventricular system, mainly the IV ventricle. A case of a 50-year-old woman with sudden headaches and vomiting, and intraventricular hemorrhage (four ventricles) caused by an aneurysm of the telovelotonsillar segment of the PICA, is presented. No signs of subarachnoidal hemorrhage were found in the computerized tomography. The aneurysm was clipped and the patient presented a favorable outcome. Anatomical aspects and clinical series are reviewed.


Neurosurgery ◽  
1982 ◽  
Vol 11 (5) ◽  
pp. 690-693 ◽  
Author(s):  
Vinko Dolenc

Abstract A case of a large aneurysm of the left posterior inferior cerebellar artery (PICA) is presented. The ectasia of the PICA was excised, and the artery was reconstructed by end-to-end suture. The PICA proved to be patent. The patient had neither pre- nor postoperative neurological deficit.


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