Surgical experience ofs et noses or occlusion of the vertebral artery

VernacularTitle:椎动脉开口狭窄和闭塞的外科治疗经验
Author: Xueming CHEN ; Chenyu LI ; Hai FENG ; Renming ZHU ; Hongzhi YU ; Zhonggao WANG
Publication Type:Journal Article
Keywords: Vertebrobasilar insufficiency/surgery; Endarterectomy; Vertebral artery/surgery; Subclavian artery/surgery; Sa-phenous vein/surgery
From: Journal of Chinese Physician 2014;(7):865-867
CountryChina
Language:Chinese
Abstract: Objective To explore surgical experience of stenoses or occlusion of the vertebral artery .Methods In this group, there were 28 patients including 21 men and 7 females with average of 52 ~73 (68.3 ±0.03) y, duration 3 months to 4 years , and 15 lesions in the left and 13 lesions in the right .All patients were performed operation under general anesthesia .There were 16 vertebral artery endarterectomy , 10 subclavian-vertebral bypass and 2 end-side anastomosis between vertebral artery and common ca-rotid artery.Results One patient had to be performed second operation at the 7th day after endarterectomy because of anastomotic bleeding.All patients were cured.The patency rate of 6 months was 89.28%(25/28) in all patients.Conclusions Surgical man-agement of stenoses or occlusion of the vertebral artery has excellent curative effect with simply operation .However , the technique must be selected according to anatomic circumstances of vertebral artery and subclavian artery .