Brisman MH, Tuhrim S, Jenkins A, Bederson JB. Thyrocervical to vertebral artery transposition and ipsilateral carotid endarterectomy.
SURGICAL NEUROLOGY 1999;
51:327-30; discussion 330-1. [PMID:
10086499 DOI:
10.1016/s0090-3019(97)00506-5]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
BACKGROUND
We report a new method for treating patients with symptomatic high-grade stenosis of the proximal vertebral artery associated with high-grade stenosis of the ipsilateral carotid artery.
METHODS
Our patient had high-grade stenosis of the proximal right vertebral artery as well as high-grade stenosis of the ipsilateral carotid artery and suffered continued posterior circulation ischemic neurological deficits despite anticoagulation.
RESULTS
The patient was successfully treated with a carotid endarterectomy and thyrocervical-to-vertebral artery transposition in a single operation.
CONCLUSION
This procedure has the advantage in this setting of avoiding additional cross clamping on the diseased carotid artery that would normally be required for the vertebral-to-carotid artery transposition with carotid endarterectomy. Also, thrombosis at one anastamosis site would not endanger the other site as well.
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