Posterior circulation revascularization to manage vertebrobasilar occlusion
Objective To discuss the technique and effect of posterior circulation revascularization to manage vertebrobasilar occlusion. Methods Nine patients with vertebrobasilar occlusion were treated by using occipital artery ⁃ posterior inferior cerebellar artery bypass, superficial temporal artery ⁃ super...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Tianjin Huanhu Hospital
2012-06-01
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| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
| Subjects: | |
| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/349 |
| _version_ | 1819076664311676928 |
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| author | Yan⁃guo SHANG Xiao⁃guang TONG |
| author_facet | Yan⁃guo SHANG Xiao⁃guang TONG |
| author_sort | Yan⁃guo SHANG |
| collection | DOAJ |
| description | Objective To discuss the technique and effect of posterior circulation revascularization to manage vertebrobasilar occlusion. Methods Nine patients with vertebrobasilar occlusion were treated by using occipital artery ⁃ posterior inferior cerebellar artery bypass, superficial temporal artery ⁃ superior cerebellar artery bypass, superficial temporal artery⁃posterior cerebral artery bypass and occipital artery⁃ vertebral artery bypass with radial artery graft. Results Intraoperative indocyanine green angiography showed all the bypass arteries were patent. Postoperative DSA or CTA showed bypass arteries patent in 8 patients, among whom seven patients got obvious improvement on MR or CT perfusion. One patient died of heart failure on the 15th day postoperative. During the follow⁃up of eight patients, no stroke reoccurred, four patients got back to nearly normal life. Conclusion Most of the patients with vertebrobasilar occlusion could benefit from the posterior circulation revascularization, which should be confirmed by randomized controlled clinical trials in the future.
DOI：10.3969/j.issn.1672⁃6731.2012.03.021 |
| first_indexed | 2024-12-21T18:44:54Z |
| format | Article |
| id | doaj.art-3afb4b55c7d341f9b1f8c4d02bb7ea78 |
| institution | Directory Open Access Journal |
| issn | 1672-6731 |
| language | English |
| last_indexed | 2024-12-21T18:44:54Z |
| publishDate | 2012-06-01 |
| publisher | Tianjin Huanhu Hospital |
| record_format | Article |
| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj.art-3afb4b55c7d341f9b1f8c4d02bb7ea782022-12-21T18:53:55ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312012-06-01123354359348Posterior circulation revascularization to manage vertebrobasilar occlusionYan⁃guo SHANGXiao⁃guang TONGObjective To discuss the technique and effect of posterior circulation revascularization to manage vertebrobasilar occlusion. Methods Nine patients with vertebrobasilar occlusion were treated by using occipital artery ⁃ posterior inferior cerebellar artery bypass, superficial temporal artery ⁃ superior cerebellar artery bypass, superficial temporal artery⁃posterior cerebral artery bypass and occipital artery⁃ vertebral artery bypass with radial artery graft. Results Intraoperative indocyanine green angiography showed all the bypass arteries were patent. Postoperative DSA or CTA showed bypass arteries patent in 8 patients, among whom seven patients got obvious improvement on MR or CT perfusion. One patient died of heart failure on the 15th day postoperative. During the follow⁃up of eight patients, no stroke reoccurred, four patients got back to nearly normal life. Conclusion Most of the patients with vertebrobasilar occlusion could benefit from the posterior circulation revascularization, which should be confirmed by randomized controlled clinical trials in the future. DOI：10.3969/j.issn.1672⁃6731.2012.03.021http://www.cjcnn.org/index.php/cjcnn/article/view/349Vertebrobasilar insufficiencyCerebral revascularizationTemporal arteriesFluorescein angiography |
| spellingShingle | Yan⁃guo SHANG Xiao⁃guang TONG Posterior circulation revascularization to manage vertebrobasilar occlusion Chinese Journal of Contemporary Neurology and Neurosurgery Vertebrobasilar insufficiency Cerebral revascularization Temporal arteries Fluorescein angiography |
| title | Posterior circulation revascularization to manage vertebrobasilar occlusion |
| title_full | Posterior circulation revascularization to manage vertebrobasilar occlusion |
| title_fullStr | Posterior circulation revascularization to manage vertebrobasilar occlusion |
| title_full_unstemmed | Posterior circulation revascularization to manage vertebrobasilar occlusion |
| title_short | Posterior circulation revascularization to manage vertebrobasilar occlusion |
| title_sort | posterior circulation revascularization to manage vertebrobasilar occlusion |
| topic | Vertebrobasilar insufficiency Cerebral revascularization Temporal arteries Fluorescein angiography |
| url | http://www.cjcnn.org/index.php/cjcnn/article/view/349 |
| work_keys_str_mv | AT yanguoshang posteriorcirculationrevascularizationtomanagevertebrobasilarocclusion AT xiaoguangtong posteriorcirculationrevascularizationtomanagevertebrobasilarocclusion |