Occipital artery to extracranial vertebral artery anastomosis for bilateral vertebral artery stenosis at the origin: A case report

BACKGROUND: Revascularization of posterior circulation is essential in patients with severe bilateral vertebral artery (VA) stenosis despite administering maximal medical treatment, due to the high mortality of posterior circulation stroke. CASE DESCRIPTION: We present a 69-year-old man with bilater...

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Detalles Bibliográficos
Autores principales: Katsuki, Masahito, Yamamoto, Yasunaga, Wada, Naomichi, Kakizawa, Yukinari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Neurovascular: Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5926210/
https://www.ncbi.nlm.nih.gov/pubmed/29740503
http://dx.doi.org/10.4103/sni.sni_20_18
Descripción
Sumario:BACKGROUND: Revascularization of posterior circulation is essential in patients with severe bilateral vertebral artery (VA) stenosis despite administering maximal medical treatment, due to the high mortality of posterior circulation stroke. CASE DESCRIPTION: We present a 69-year-old man with bilateral severe VA stenosis at the origins, treated with occipital artery (OA)-distal VA anastomosis. CONCLUSION: Endovascular treatment and other surgical treatments, such as bypass grafting, are effective, but OA-VA anastomosis is a safe and effective procedure for revascularization of the posterior circulation.

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