The extra-intracranial bypass between occipital artery and posterior inferior cerebellar artery. Case report
Abstract
This article describes the topographical and anatomical features of OA and PICA course as well as the technique of bypass performance between OA and PICA and presents the clinical case. The male patient H., 60 years old with occlusion of right vertebral artery and critical stenosis of V4 segment of left vertebral artery who suffered from progressing vertebrobasilar insufficiency within last 6 months and every day «drop attacks» was operated on. The endovascular treatment did not performed because of severe toruosity of V3 segment of vertebral artery. The bypass performance between left OA and left PICA was conducted using frameless neuronavigation. There were no any incidents in postoperative period; the control CT-angiography revealed the patent bypass. The patient was discharged on 16th postoperative day with full regression of «drop attacks».
Keywords
анастомоз между затылочной и задней нижней мозжечковой артерией,
анастомоз ЗА-ЗНМА,
анастомоз в вертебробазилярном бассейне,
затылочная артерия,
задняя нижняя мозжечковая артерия,
occipital artery (OA),
posterior inferior cerebellar artery (PICA),
OA-PICA bypass,
bypass in vertebrobasilar system
About the Authors
V. A. Luk’Yanchikov
НИИ скорой помощи им. Н.В. Склифосовского
Russian Federation
Russian Federation
N. A. Polunina
НИИ скорой помощи им. Н.В. Склифосовского
Russian Federation
Russian Federation
R. N. Lyun’Kova
НИИ скорой помощи им. Н.В. Склифосовского
Russian Federation
Russian Federation
A. S. Tokarev
НИИ скорой помощи им. Н.В. Склифосовского
Russian Federation
Russian Federation
A. A. Kalandari
Московский государственный медико-стоматологический университет им. А.И. Евдокимова
Russian Federation
Russian Federation
V. A. Dalibaldyan
Московский государственный медико-стоматологический университет им. А.И. Евдокимова
Russian Federation
Russian Federation
O. Yu. Nakhabin
НИИ скорой помощи им. Н.В. Склифосовского
Russian Federation
Russian Federation
E. V. Grigor’Eva
ООО “Медикал Клаб Консилиум”
Russian Federation
Russian Federation
References
1. Luk’yanchikov V.A., Kalandari A.A., Dalibaldyan V.A., Shestov E.V., Nakhabin O.Yu., Polunina N.A et al. The performance of STA-MCA bypass using frameless neuronavigation system. The Russian Journal of Neurosurgery. 2014; 2: 66-73 (in Russian).
2. Abdulrauf S. Cerebral revascularization: technigues in extracranial-to-intracranial bypass surgery. - Philadelphia, PA: Saunders, 2011. - P. 155-160.
3. Ausman M.G., Lee M.C., Klassen A.C. et al. Stroke: what,s new? Cerebral revascularization // Minn Med. - 1976. - Vol. 59(4). - P. 223-227.
4. Kawashima M., Rhoton A.L., Tanriover N., et al. Microsurgical anatomy of cerebral revascularization. Part II: posterior circulation. // J Neurosurg. - 2005. - Vol. 102(1). - P. 132-147.
Review
For citations:
Luk’Yanchikov V.A., Polunina N.A., Lyun’Kova R.N., Tokarev A.S., Kalandari A.A., Dalibaldyan V.A., Nakhabin O.Yu., Grigor’Eva E.V. The extra-intracranial bypass between occipital artery and posterior inferior cerebellar artery. Case report. Russian journal of neurosurgery. 2015;(1):76-81. (In Russ.)
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