Document Detail

Reconstruction for the vertebral artery stenosis at its origin--bypass surgery using a saphenous vein graft with external shunting.
MedLine Citation:
PMID:  1708445     Owner:  NLM     Status:  MEDLINE    
Eight patients with vertebral artery (VA) stenosis at its origin were surgically treated by a new reconstructive technique. Two patients suffered vertebrobasilar transient ischemic attacks, and five had brainstem and/or cerebellar infarction. All patients had multiple stenotic lesions, including bilateral VA stenoses in one and unilateral VA stenosis plus contralateral VA occlusion in seven. They underwent a subclavian artery to VA bypass using a saphenous short vein graft with external shunting. Postoperatively, no patients had aggravated neurological symptoms, and angiography showed all bypasses to be patent. One had an episode of transient loss of consciousness 8 months postoperatively, but the others showed no episodes of ischemia during an average follow-up period of 2 years and 10 months. The results indicate that this procedure is safer and more useful than other surgical procedures.
T Koike; S Takeuchi; O Sasaki; R Tanaka; S Kawasaki; H Kameda; K Aoki
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  30     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  1990 Oct 
Date Detail:
Created Date:  1991-05-29     Completed Date:  1991-05-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  727-33     Citation Subset:  IM    
Department of Neurosurgery, Niigata University.
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MeSH Terms
Cerebral Angiography
Constriction, Pathologic / radiography,  surgery
Middle Aged
Saphenous Vein / transplantation*
Vascular Surgical Procedures / methods*
Vertebrobasilar Insufficiency / radiography,  surgery*

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