Proximal clipping and bypass between bilateral vertebral arteries using a radial arterial graft for the treatment of a dissecting aneurysm of the vertebral artery
| Autor: | Tetsuyuki Yoshimoto, Teruhumi Ito, Syugo Takikawa, Hiroyasu Kamiyama, Hiroshi Abe |
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| Rok vydání: | 1991 |
| Předmět: |
Male
medicine.medical_specialty Vertebral artery medicine.medical_treatment Anastomosis Brain stem infarction Aneurysm medicine.artery medicine Humans cardiovascular diseases Derivation Radial artery Vertebral Artery business.industry Anatomy Clipping (medicine) Arteries Middle Aged medicine.disease Constriction Surgery Radiography Stenosis Aortic Dissection Forearm cardiovascular system Neurology (clinical) business Vascular Surgical Procedures |
| Zdroj: | Surgical neurology. 36(6) |
| ISSN: | 0090-3019 |
| Popis: | Proximal clipping has been performed recently as the main surgical treatment for a dissecting aneurysm of the vertebral artery. When there is a contralateral vertebral artery of a smaller size with arteriosclerotic changes, some form of bypass to prevent cerebellar and brain stem infarction is needed in addition to proximal clipping. We treated a 50-year-old man with a ruptured dissecting aneurysm of the left vertebral artery and stenosis at the V3 segment of the right vertebral artery. The caliber of the right vertebral artery was smaller than the left. After an anastomosis between bilateral vetebral arteries using a radial arterial graft, dissecting aneurysm was clipped at the proximal portion of the aneurysm. |
| Databáze: | OpenAIRE |
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