| Vertebral artery disease: radiological evaluation medical management, and microsurgical treatment. | |
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MedLine Citation:
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PMID: 7322314 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The neuroradiological evaluation, perioperative medical management, and microsurgical treatment of variously located vertebral artery lesions are presented. Four types of surgical procedures were undertaken: proximal vertebral artery to common carotid artery end-to-side anastomosis; external carotid artery to midcervical vertebral artery end-to-side anastomosis; external carotid artery to distal cervical vertebral artery end-to-end anastomosis; and occipital artery to posterior inferior cerebellar artery end-to-side anastomosis. Each case is used to demonstrate the evaluation and management involved, the type of and rationale for the surgical procedure selected, and the patency of the anastomosis performed. Two points are emphasized. One is that, after careful angiographic evaluation and improved perioperative medical management, lesions of the vertebral artery are indeed amenable to microsurgical intervention with relatively low risk to the patient. The other is that, whenever possible, anastomosis of the largest caliber of vessels with the least number of suture lines is the surgical treatment of choice. |
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Authors:
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M B Pritz; W F Chandler; G W Kindt |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Neurosurgery Volume: 9 ISSN: 0148-396X ISO Abbreviation: Neurosurgery Publication Date: 1981 Nov |
Date Detail:
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Created Date: 1982-03-13 Completed Date: 1982-03-13 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 524-30 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Carotid Arteries
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surgery Carotid Artery Diseases / surgery Cerebral Angiography Humans Male Microsurgery / methods Middle Aged Vertebral Artery / surgery* Vertebrobasilar Insufficiency / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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