Surgical Treatment of Vertebrobasilar Insufficiency
- Author:
Geun Eun KIM
1
;
Ho Sung KIM
;
Tae Won KWON
;
Yong Pil CHO
Author Information
1. Department of Vascular Surgery, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Vertebrobasilar insufficiency
- MeSH:
Angioplasty;
Arteries;
Arteriosclerosis;
Axillary Artery;
Brachiocephalic Trunk;
Brain Ischemia;
Constriction, Pathologic;
Diagnosis;
Dizziness;
Dysarthria;
Humans;
Korea;
Pathology;
Saphenous Vein;
Stents;
Takayasu Arteritis;
Vertebral Artery;
Vertebrobasilar Insufficiency;
Vertigo
- From:Journal of the Korean Society for Vascular Surgery
1998;14(2):261-264
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Vertebral artery reconstructions are less frequently performed in Korea and diagnosis of vertebrobasilar insufficiency is often missed due to complexity of the symptoms. Authors report 15 vertebral artery reconstructions from September 1995 through December 1997: 5 saphenous vein patch angioplasty, 3 axillary-axillary artery bypass, 2 bovine patch angioplasty, 2 subclavian-vertebral artery bypass, 1 thyrocervical trunk-vertebral artery bypass, 1 carotid-vertebral artery bypass, 1 angioplasty of left vertebral artery & concomitant left subclavian-right axillary artery bypass following by percutaneous transluminal stented angioplasty of innominate artery. Majority of pathology were arteriosclerosis (13 patients) with stenosis at subclavian-vertebral artery junction and Takayasu's arteritis were next (2 patients). Postoperative result was satisfactory and symptoms of dysarthria, ataxic gate, dizziness or vertigo were relieved in all patients. With proper surgical treatment, symptomatic improvement and prevention of cerebral ischemia in vertebrobasilar insufficiency can be achieved.
