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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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
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author Katsuki, Masahito
Yamamoto, Yasunaga
Wada, Naomichi
Kakizawa, Yukinari
author_facet Katsuki, Masahito
Yamamoto, Yasunaga
Wada, Naomichi
Kakizawa, Yukinari
author_sort Katsuki, Masahito
collection PubMed
description 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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spelling pubmed-59262102018-05-08 Occipital artery to extracranial vertebral artery anastomosis for bilateral vertebral artery stenosis at the origin: A case report Katsuki, Masahito Yamamoto, Yasunaga Wada, Naomichi Kakizawa, Yukinari Surg Neurol Int Neurovascular: 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 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. Medknow Publications & Media Pvt Ltd 2018-04-16 /pmc/articles/PMC5926210/ /pubmed/29740503 http://dx.doi.org/10.4103/sni.sni_20_18 Text en Copyright: © 2018 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Neurovascular: Case Report
Katsuki, Masahito
Yamamoto, Yasunaga
Wada, Naomichi
Kakizawa, Yukinari
Occipital artery to extracranial vertebral artery anastomosis for bilateral vertebral artery stenosis at the origin: A case report
title Occipital artery to extracranial vertebral artery anastomosis for bilateral vertebral artery stenosis at the origin: A case report
title_full Occipital artery to extracranial vertebral artery anastomosis for bilateral vertebral artery stenosis at the origin: A case report
title_fullStr Occipital artery to extracranial vertebral artery anastomosis for bilateral vertebral artery stenosis at the origin: A case report
title_full_unstemmed Occipital artery to extracranial vertebral artery anastomosis for bilateral vertebral artery stenosis at the origin: A case report
title_short Occipital artery to extracranial vertebral artery anastomosis for bilateral vertebral artery stenosis at the origin: A case report
title_sort occipital artery to extracranial vertebral artery anastomosis for bilateral vertebral artery stenosis at the origin: a case report
topic Neurovascular: Case Report
url 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
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AT wadanaomichi occipitalarterytoextracranialvertebralarteryanastomosisforbilateralvertebralarterystenosisattheoriginacasereport
AT kakizawayukinari occipitalarterytoextracranialvertebralarteryanastomosisforbilateralvertebralarterystenosisattheoriginacasereport

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