[KSCI] Korea Science Citation Index Service

http://dx.doi.org/10.3340/jkns.2021.0222

Extracranial Carotid-Vertebral Artery Bypass Technique and Surgical Outcomes

Lee, Jung Koo (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea)
Park, Ik Seong (Department of Neurosurgery, Bucheon St. Mary's Hospital, The Catholic University of Korea)

Publication Information

Journal of Korean Neurosurgical Society / v.65, no.4, 2022 , pp. 603-608 More about this Journal

Abstract

Vertebral artery (VA) occlusion is frequently encountered, usually without acute ischemic injury of the brain. However, when it is accompanied by hypoplasia or stenosis of the opposite VA, brain ischemia may develop due to insufficient collateral supply. Both hemodynamic instability and embolic infarction can occur in VA occlusion, which may cause severe symptoms in a patient. Extracranial carotid-VA bypass should be considered for symptomatic VA occlusion patients, especially when the patient has repeated ischemic brain injuries. In this report, the cases of three extracranial carotid-VA bypass patients are introduced, along with a brief description of the surgical techniques. All three cases were treated with different bypass methods according to their disease location.

Keywords

Vertebrobasilar insufficiency; Vertebral artery; Arterial bypass, extracranial intracranial;

Citations & Related Records

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