For a small subset of tumours of the skull base an ELANA bypass could be indicated if the recipient vessel does not tolerate occlusion time. For example meningeomas which compromise the ICA lumen. Several successful operations were performed by professor Tulleken and his team in Utrecht. For more information on this subject please contact dr A. van der Zwan or Prof dr C.A.F. Tulleken. Use the following link: Contact