Document Detail


Open repair of vertebral artery: a 7-year single-center report.
MedLine Citation:
PMID:  22176877     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: To report the long-term results of proximal and distal VA open repairs.
METHODS: From January 2002 to December 2009, 74 cases of VA open repair were performed (73 patients, 41 men; mean age, 66.5 ± 15.2 years). Symptoms of vertebrobasilar insufficiency were present in 61 cases (82.4%). Forty-seven have had a proximal VA repair, and 27, a distal one. Bypass grafting using a saphenous vein graft was performed in 21 cases (28.3%). Direct transposition was used in 48 (64.8%), mostly into the common carotid artery.
RESULTS: Mean duration of follow-up was 39.5 ± 31.3 months. A stroke was present in three patients (4.1%), two hemispheric (2.7%) and one vertebrobasilar (1.3%), which turned lethal. The two hemispheric strokes occurred in the subgroup of 35 procedures combined with a carotid artery reconstruction. A transient Horner syndrome was found in 16 cases (21.6%), and a transient vocal palsy, in six (8.1%). Early postoperative occlusion occurred in two cases (2.7%). A total of seven (9.4%) patients died during follow-up, one from a stroke. Cumulative Kaplan-Meier survival rate was 90.7 ± 4.8% at 3 years and 77.3 ± 12.2% at 6 years. Assessment of late patency was obtained in 54 (84.3%) of 64 survivals by duplex scanning (70.3%) or angiography (10.9%). Significant vertebrobasilar symptom-free rate was 87.7 ± 9.2% at 6 years. Primary patency rate was 94.8 ± 3.8% at 3 years and 90.8 ± 9.4% at 6 years.
CONCLUSIONS: VA open repair provides excellent long-term results. Patients with combined carotid and VA reconstruction are at higher risk of postoperative stroke than patients undergoing isolated repair of the VA.
Authors:
Claudio Alberto Ramirez; Guillaume Febrer; Julien Gaudric; Salam Abou-Taam; Kenza Beloucif; Laurent Chiche; Fabien Koskas
Related Documents :
19057367 - An investigation of the effects of preoperative interdisciplinary patient education on ...
22035647 - The impact of preoperative counseling on postoperative treatment adherence in bariatric...
21803837 - Successful and safe implementation of a trinary interpretation and reporting strategy f...
21610537 - Retroperitoneal pelvic packing in the management of hemodynamically unstable pelvic fra...
18976257 - Efficacy of alpha lipoic acid in burning mouth syndrome: a randomized, placebo-treatmen...
16263607 - Vertebroplasty and kyphoplasty: new treatment strategies for fractures in the osteoporo...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  26     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  79-85     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Vascular Surgery, Groupe Hospitalier Pitié Salpêtrière, Paris, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Predicting functional status following amputation after lower extremity bypass.
Next Document:  Cost impact of extension cuff utilization during endovascular aneurysm repair.