A Modified Surgical Technique for Transposition of the Vertebral Artery to the Common Carotid Artery
A proximal occluded vertebral artery (VA) with reconstitution by muscular collateral vessels is a relatively common finding. However, due to inadequate intracranial anastomosis and hypoplasia or stenosis of the opposite VA, a number of patients develop symptoms of brain ischemia. In the current case...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2018-10-01
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| Series: | Case Reports in Neurology |
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| Online Access: | https://www.karger.com/Article/FullText/493725 |
| _version_ | 1818980289929543680 |
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| author | Won-Bae Seung |
| author_facet | Won-Bae Seung |
| author_sort | Won-Bae Seung |
| collection | DOAJ |
| description | A proximal occluded vertebral artery (VA) with reconstitution by muscular collateral vessels is a relatively common finding. However, due to inadequate intracranial anastomosis and hypoplasia or stenosis of the opposite VA, a number of patients develop symptoms of brain ischemia. In the current case, a 63-year-old man presented with repeat neurological symptoms such as dizziness, nausea, vomiting, dysarthria, left hemiparesis, and right hemianopsia. Magnetic resonance imaging revealed multiple posterior infarctions. Angiography revealed the VA to be occluded and reconstituted by collateral vessels. Considering the above results, we performed vertebral carotid artery transposition. However, several technical difficulties were encountered due to space limitations in the operative field and the limited length of the vessels to be anastomosed. To overcome such situations, we introduced a modified posterior wall end-to-side anastomosis technique. |
| first_indexed | 2024-12-20T17:13:04Z |
| format | Article |
| id | doaj.art-d6048571dce64503aae970e1a6fe07ff |
| institution | Directory Open Access Journal |
| issn | 1662-680X |
| language | English |
| last_indexed | 2024-12-20T17:13:04Z |
| publishDate | 2018-10-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Neurology |
| spelling | doaj.art-d6048571dce64503aae970e1a6fe07ff2022-12-21T19:32:05ZengKarger PublishersCase Reports in Neurology1662-680X2018-10-0110329229610.1159/000493725493725A Modified Surgical Technique for Transposition of the Vertebral Artery to the Common Carotid ArteryWon-Bae SeungA proximal occluded vertebral artery (VA) with reconstitution by muscular collateral vessels is a relatively common finding. However, due to inadequate intracranial anastomosis and hypoplasia or stenosis of the opposite VA, a number of patients develop symptoms of brain ischemia. In the current case, a 63-year-old man presented with repeat neurological symptoms such as dizziness, nausea, vomiting, dysarthria, left hemiparesis, and right hemianopsia. Magnetic resonance imaging revealed multiple posterior infarctions. Angiography revealed the VA to be occluded and reconstituted by collateral vessels. Considering the above results, we performed vertebral carotid artery transposition. However, several technical difficulties were encountered due to space limitations in the operative field and the limited length of the vessels to be anastomosed. To overcome such situations, we introduced a modified posterior wall end-to-side anastomosis technique.https://www.karger.com/Article/FullText/493725End-to-side anastomosisOcclusionVertebral arteryVertebrocarotid transposition |
| spellingShingle | Won-Bae Seung A Modified Surgical Technique for Transposition of the Vertebral Artery to the Common Carotid Artery Case Reports in Neurology End-to-side anastomosis Occlusion Vertebral artery Vertebrocarotid transposition |
| title | A Modified Surgical Technique for Transposition of the Vertebral Artery to the Common Carotid Artery |
| title_full | A Modified Surgical Technique for Transposition of the Vertebral Artery to the Common Carotid Artery |
| title_fullStr | A Modified Surgical Technique for Transposition of the Vertebral Artery to the Common Carotid Artery |
| title_full_unstemmed | A Modified Surgical Technique for Transposition of the Vertebral Artery to the Common Carotid Artery |
| title_short | A Modified Surgical Technique for Transposition of the Vertebral Artery to the Common Carotid Artery |
| title_sort | modified surgical technique for transposition of the vertebral artery to the common carotid artery |
| topic | End-to-side anastomosis Occlusion Vertebral artery Vertebrocarotid transposition |
| url | https://www.karger.com/Article/FullText/493725 |
| work_keys_str_mv | AT wonbaeseung amodifiedsurgicaltechniquefortranspositionofthevertebralarterytothecommoncarotidartery AT wonbaeseung modifiedsurgicaltechniquefortranspositionofthevertebralarterytothecommoncarotidartery |