PICA-PICA Bypass and Trapping for A Giant Partially Thrombosed Serpentine Fusiform Right Pica Aneurysm
Abstract
PICA giant serpentine aneurysms are rare and difficult to manage, given the intimate association with brainstem perforators and location. We present a video of a PICA-PICA side to side bypass and trapping of the aneurysm. We elucidate technical nuances to approach similar lesions with careful bypass handling. 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
Intracranial Aneurysms: Treatment and Complications
Vascular Malformations Diagnosis and Treatment
Moyamoya disease diagnosis and treatment
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