Carotid endarterectomy combined with vertebral artery transposition treating vertebral artery V1 segment stenosis combined with ipsilateral carotid artery stenosis
- VernacularTitle:一站式颈动脉内膜剥脱术联合椎动脉转位术的临床研究分析
- Author:
Yuanrui GU
1
;
Zeming ZHOU
1
;
Yangxue SUN
1
;
Yilang QIN
1
;
Chen TIAN
1
;
Jingjing REN
2
;
Chuan TIAN
1
;
Kun FANG
1
;
Wenbin OUYANG
1
;
Ying ZHANG
1
;
Mingyao LUO
1
;
Chang SHU
1
;
Chenxi OUYANG
1
Author Information
1. Department of Vascular Surgery, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, P. R. China
2. Department of Party and Government Office, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, P. R. China
- Publication Type:Journal Article
- Keywords:
Carotid artery stenosis;
vertebral artery stenosis;
carotid endarterectomy;
vertebral artery transposition
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(05):704-709
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the treatment outcome of carotid endarterectomy combined with vertebral artery transposition in patients with severe stenosis to occlusion of the vertebral artery V1 segment and the ipsilateral carotid artery. Methods From June 2017 to September 2020, patients with severe stenosis to occlusion of the vertebral artery V1 segment and the ipsilateral carotid artery treated with carotid endarterectomy combined with vertebral artery transposition in Fuwai Hospital were retrospectively analyzed. Results Finally 12 patients were enrolled, including 10 males and 2 females with an average age of 67.8±6.0 years. Twelve patients were successfully operated and the follow-up time was 1-3 years. The stenosis degree of the V1 segment of the vertebral artery decreased from 83.5%±11.8% to 24.9%±14.3% (P<0.001). The stenosis degree of carotid artery decreased from 85.6%±11.0% to 0% (P<0.001). Postoperative follow-up showed that the symptoms of symptomatic patients before surgery improved. The 1-year and 3-year patency rates were 100.0%, and there were no peripheral nerve injury complications, perioperative deaths or strokes. Conclusion Carotid endarterectomy combined with vertebral artery transposition can treat ipsilateral carotid artery stenosis and vertebral artery stenosis at the same time, improve blood supply to the brain, improve patients' symptoms and has high promotion value.
