Intraoperative PICA Rupture Repaired with End-to-End Reanastomosis

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: Marco Paolo Schiariti, Luca Mattioli, Leonardo Maresca, Edoardo Maria Barbieri, Riccardo Ciocca, Erica Boccardi, Morgan Aldo Broggi, Francesco Restelli, Paolo Ferroli
DOI: 10.1055/s-0046-1818940
Cited by: 0

Abstract

In this video we present a case of vestibular schwannoma surgery. During the procedure in the semisitting position, an inadvertent rupture of the PICA happened. We tried to repair the PICA by means of microsuture which resulted in artery spasm. We then proceded to cut the stenotic segment and perform an end-to-end reanastomosis restoring the PICA flow.Surgery was then carried on safely with restoring of lower cranial nerves' MEPs. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Fields of Study & Subjects

Meningioma and schwannoma management Intracranial Aneurysms: Treatment and Complications Neurosurgical Procedures and Complications

Publication details

Journal / source
Journal of Neurological Surgery Part B Skull Base
Volume
87
Issue
S 01
Pages
S1–S548
Publication date
27 February 2026
Language
EN