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Acta Neurochirurgica

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01-02-2018 | How I Do it - Vascular

Surgical approach to posterior inferior cerebellar artery aneurysms

Authors: Biagia La Pira, Carmelo Lucio Sturiale, Giuseppe Maria Della Pepa, Alessio Albanese

Published in: Acta Neurochirurgica | Issue 2/2018

Abstract

Background

The far-lateral is a standardised approach to clip aneurysms of the posterior inferior cerebellar artery (PICA). Different variants can be adopted to manage aneurysms that differ in morphology, topography, ruptured status, cerebellar swelling and surgeon preference.

Method

We distinguished five paradigmatic approaches aimed to manage aneurysms that are: proximal unruptured; proximal ruptured requiring posterior fossa decompression (PFD); proximal ruptured not requiring PFD; distal unruptured; distal ruptured.

Conclusions

Preoperative planning in the setting of PICA aneurysm surgery is of paramount importance to perform an effective and safe procedure, to ensure an adequate PFD and optimal proximal control before aneurysm manipulation.

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Drake CG (1979) The treatment of aneurysms of the posterior circulation. Clin Neurosurg 26:96–144CrossRefPubMed

Rodriguez-Hernandez A, Zador Z, Rodriguez-Mena R, Lawton MT (2013) Distal aneurysms of intracranial arteries: application of numerical nomenclature, predilection for cerebellar arteries, and results of surgical management. World Neurosurg 80:103–112CrossRefPubMed

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Title: Surgical approach to posterior inferior cerebellar artery aneurysms
Authors: Biagia La Pira
Carmelo Lucio Sturiale
Giuseppe Maria Della Pepa
Alessio Albanese
Publication date: 01-02-2018
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 2/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-017-3387-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Surgical approach to posterior inferior cerebellar artery aneurysms

Abstract

Background

Method

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Method

Conclusions

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