Cervical Vertebral and Subclavian Artery Reconstructions

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概要

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• At our institution, endovascular treatment of subclavian artery (SA) or vertebral artery (VA) occlusive disease has been used as the treatment of first choice during the last years. Open procedures were per-formed only in cases of failed or unfeasible endovascular treatment or total occlusion of the proximal VA or SA, respectively. Nineteen open procedures were performed between 1992 and 1996. Proximal reconstructions included SA to common carotid artery (CCA) transpositions or bypasses and VA to CCA transpositions. Distal reconstructions included transposition techniques or direct reconstruction in a few cases of traumatic lesions. The operative procedure used two-channel transcranial Doppler monitoring for cases involving simultaneous CCA and SA or VA cross clamping. There was one techni-cal failure of a distal VA reconstruction. No surgical complications occurred. The recent pertinent liter-ature with regard to indications and techniques of SA and VA reconstructions is discussed.

• 社団法人 日本脳神経外科学会の論文

著者

• STEIGER Hans

  Department of Neurosurgery, Ludwig-Maximilians-University

関連論文

• Cervical Vertebral and Subclavian Artery Reconstructions

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