Acta Neurochir (Wien). 2013 Nov;155(11):2121-5. doi: 10.1007/s00701-013-1874-y.
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.
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.
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.
颅内原位旁路后循环手术并不常见。由于缺乏对该手术技术细节的充分描述，椎动脉-小脑后下动脉（PICA）动脉瘤和椎动脉夹层的治疗方法有限。
本文通过 50 岁女性椎动脉-PICA 交界处夹层假性动脉瘤的病例演示 PICA-PICA 侧侧搭桥术的技术细节。
本文详细描述了侧侧 PICA-PICA 旁路的术前评估、决策过程和手术细节。强调了适应证和局限性。血管神经外科医生应将这一优雅的手术纳入其治疗手段中。
