Combined microsurgical PICA-PICA bypass & endovasc parent artery occlusion

Robert M. Starke M.D., .,1 Dale Ding M.D.,1 Christopher R. Durst, M.D.,2 R. Webster Crowley, M.D.,1,2 and Kenneth C. Liu, ,2 University of Virginia, Departments of Neurological Surgery1 and Radiology and Medical Imaging2, Charlottesville, Virginia Abstract Dissecting vertebral artery (VA) aneurysms are difficult to obliterate when the parent artery cannot be safely occluded. In this video, we demonstrate a combined microsurgical and endovascular treatment technique for a ruptured, dissecting VA a