Korean J Cerebrovasc Surg.
2010 Jun;12(2):57-60.
Occipital Artery to Distal Extracranial Vertebral Artery Bypass for Bilateral Proximal Vertebral Artery Occlusion: Case Report
- Affiliations
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- 1Department of Neurosurgery, Seoul National University Hospital, Korea.
- 2Department of Neurosurgery, Seoul National University Bundang Hospital, Gyeonggi, Korea.
- 3Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University, Gangwon, Korea. storynlemon@gmail.com
Abstract
- Vertebrobasilar insufficiency can be caused by proximal vertebral artery (VA) occlusion. Performing endovascular recanalization for treating VA occlusion has high procedural risks, including vessel perforation. In contrast, surgical revascularization of the distal extracranial VA had been used for many decades to treat proximal VA occlusion or stenosis, and its safety and satisfactory long-term outcome are well established. We report here on a case of successful surgical revascularization by performing occipital artery to distal extracranial VA bypass for bilateral proximal VA occlusion and we discuss its potential role for the treatment of medical refractory recurrent ischemia in the vertebrobasilar territory
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