J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803438
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PICA to Vertebral Artery Re-Implantation Bypass for the Management of Proximal PICA Aneurysm

Hussam Abou-Al-Shaar
1   University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
,
Arka N. Mallela
1   University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
,
Georgios A. Zenonos
1   University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
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The authors present a case of 68-year-old male with an incidental right PICA aneurysm diagnosed during the workup of left-sided tinnitus. Neurological examination was unremarkable. Computed tomography angiogram and digital subtraction angiography depicted a right complex lateral medullary segment PICA aneurysm. He underwent a right far lateral approach for PICA to vertebral artery in situ re-implantation bypass with clipping of the PICA takeoff. The patient tolerated the procedure well and he was discharged home.



Publication History

Article published online:
07 February 2025

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