High-flow bypass using nonocclusive excimer laser-assisted end-to-side anastomosis of the external carotid artery to the P₁ segment of the posterior cerebral artery via the sylvian route

In a patient with a giant aneurysm of the basilar artery trunk, a vein graft was interposed between the external carotid artery in the neck and the P₁ segment of the posterior cerebral artery. Balloon occlusion of both vertebral arteries was performed 3 days later. The sylvian route was used for the grafting procedure and the connection to the posterior cerebral artery was made by using the excimer laser-assisted nonocclusive anastomosis technique.