Treatment of proximal vertebral artery disease
| Autor: | Karen McQuade, Gregory J. Pearl, William P. Shutze, Joshua L. Gierman, Bertram L. Smith |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Hemispheric stroke Vertebral artery medicine.medical_treatment Disease Risk Factors medicine.artery Carotid artery disease Angioplasty parasitic diseases Vertebrobasilar Insufficiency medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Vascular Patency Vertebral Artery Aged Retrospective Studies Cerebrovascular Ischemia Aged 80 and over Retrospective review business.industry General Medicine Perioperative Middle Aged medicine.disease Surgery Radiography Treatment Outcome Female Stents Radiology biological phenomena cell phenomena and immunity Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures Angioplasty Balloon |
| Zdroj: | Vascular. 22:85-92 |
| ISSN: | 1708-539X 1708-5381 |
| Popis: | Vertebral arterial disease (VAD) is a less commonly recognized and treated source of cerebrovascular ischemia compared with carotid artery disease. Patients are often referred for treatment after they have developed symptoms in the form of transient ischemic attacks or had a posterior hemispheric stroke. Traditional treatment of VAD has been surgical. More recently, endovascular treatment of VAD has been utilized. We performed a retrospective review of our institutional experience in treating VAD from 2001 to 2010. For treatment of proximal VAD, perioperative morbidity is lower for the endovascular group than for the surgical group, but six-week mortality was higher for the endovascular group. Complete resolution of symptoms occurred more frequently with surgery than with endovascular therapy. Therefore surgical reconstruction appears to be preferable to angioplasty and stenting for treatment of proximal vertebral artery occlusive disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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