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  • Title: How I do it: side to side posterior inferior cerebellar artery – posterior inferior cerebellar artery bypass procedure.
    Author: Dehdashti AR.
    Journal: Acta Neurochir (Wien); 2013 Nov; 155(11):2121-5. PubMed ID: 24022600.
    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.
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