Minimally invasive single-stage hybrid strategy for ruptured dissecting fusiform proximal posterior inferior cerebellar artery aneurysm: how I do it.

Gahn Duangprasert, Dilok Tantongtip

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In one paragraph

Article in Acta neurochirurgica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

2 authors.

Gahn DuangprasertDivision of Neurosurgery, Department of Surgery, Faculty of Medicine, Center of Excellence for Complex Neurovascular Surgery, Thammasat University, Thammasat University Hospital, Pathum Thani, 12120, Thailand.

Dilok TantongtipDivision of Neurosurgery, Department of Surgery, Faculty of Medicine, Center of Excellence for Complex Neurovascular Surgery, Thammasat University, Thammasat University Hospital, Pathum Thani, 12120, Thailand. diloktan@tu.ac.th.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFusiform posterior inferior cerebellar artery (PICA) aneurysms are technically challenging for both microsurgical and endovascular approaches, particularly when PICA is at high risk for occlusion. Optimal outcomes may be achieved through a collaborative hybrid strategy.

methodsWe present a single-stage hybrid minimally invasive technique for fusiform PICA aneurysm management, involving microsurgical PICA-PICA revascularization and endovascular coil embolization for definitive aneurysm occlusion in the hybrid operating suite.

conclusionCombining microsurgical and endovascular modalities allows durable aneurysm exclusion while preserving PICA flow. This hybrid approach leverages the strengths of both techniques, offering a safe and effective option for complex PICA aneurysms.

Indexed as

Aneurysm, RupturedAortic DissectionCerebellumCerebral RevascularizationEmbolization, TherapeuticEndovascular ProceduresIntracranial AneurysmMicrosurgeryMinimally Invasive Surgical ProceduresCerebral AngiographyHumansTreatment OutcomeAneurysmCoilEmbolizationHybridPosterior inferior cerebellar arteryRevascularization

Identifiers

PMID41507687

DOI10.1007/s00701-025-06761-8

PMCPMC12789202

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.