Thyrocervical to vertebral artery transposition and ipsilateral carotid endarterectomy

Michael H. Brisman; Stanley Tuhrim; Arthur Jenkins; Joshua B. Bederson

doi:10.1016/S0090-3019(97)00506-5

Thyrocervical to vertebral artery transposition and ipsilateral carotid endarterectomy

Michael H. Brisman, Stanley Tuhrim, Arthur Jenkins, Joshua B. Bederson

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

BACKGROUND: We report a new method for treating patients with symptomatic high-grade stenosis of the proximal vertebral artery associated with high-grade stenosis of the ipsilateral carotid artery. METHODS: Our patient had high-grade stenosis of the proximal right vertebral artery as well as high-grade stenosis of the ipsilateral carotid artery and suffered continued posterior circulation ischemic neurological deficits despite anticoagulation. RESULTS: The patient was successfully treated with a carotid endarterectomy and thyrocervical-to-vertebral artery transposition in a single operation. CONCLUSION: This procedure has the advantage in this setting of avoiding additional cross clamping on the diseased carotid artery that would normally be required for the vertebral-to-carotid artery transposition with carotid endarterectomy. Also, thrombosis at one anastamosis site would not endanger the other site as well.

Original language	English
Pages (from-to)	327-331
Number of pages	5
Journal	Surgical Neurology
Volume	51
Issue number	3
DOIs	https://doi.org/10.1016/S0090-3019(97)00506-5
State	Published - Mar 1999

Keywords

Anastamosis
Artery
Stenosis
Thyrocervical
Transposition
Vertebral

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10.1016/S0090-3019(97)00506-5

Cite this

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title = "Thyrocervical to vertebral artery transposition and ipsilateral carotid endarterectomy",

abstract = "BACKGROUND: We report a new method for treating patients with symptomatic high-grade stenosis of the proximal vertebral artery associated with high-grade stenosis of the ipsilateral carotid artery. METHODS: Our patient had high-grade stenosis of the proximal right vertebral artery as well as high-grade stenosis of the ipsilateral carotid artery and suffered continued posterior circulation ischemic neurological deficits despite anticoagulation. RESULTS: The patient was successfully treated with a carotid endarterectomy and thyrocervical-to-vertebral artery transposition in a single operation. CONCLUSION: This procedure has the advantage in this setting of avoiding additional cross clamping on the diseased carotid artery that would normally be required for the vertebral-to-carotid artery transposition with carotid endarterectomy. Also, thrombosis at one anastamosis site would not endanger the other site as well.",

keywords = "Anastamosis, Artery, Stenosis, Thyrocervical, Transposition, Vertebral",

author = "Brisman, {Michael H.} and Stanley Tuhrim and Arthur Jenkins and Bederson, {Joshua B.}",

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journal = "Surgical Neurology",

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TY - JOUR

T1 - Thyrocervical to vertebral artery transposition and ipsilateral carotid endarterectomy

AU - Brisman, Michael H.

AU - Tuhrim, Stanley

AU - Jenkins, Arthur

AU - Bederson, Joshua B.

PY - 1999/3

Y1 - 1999/3

N2 - BACKGROUND: We report a new method for treating patients with symptomatic high-grade stenosis of the proximal vertebral artery associated with high-grade stenosis of the ipsilateral carotid artery. METHODS: Our patient had high-grade stenosis of the proximal right vertebral artery as well as high-grade stenosis of the ipsilateral carotid artery and suffered continued posterior circulation ischemic neurological deficits despite anticoagulation. RESULTS: The patient was successfully treated with a carotid endarterectomy and thyrocervical-to-vertebral artery transposition in a single operation. CONCLUSION: This procedure has the advantage in this setting of avoiding additional cross clamping on the diseased carotid artery that would normally be required for the vertebral-to-carotid artery transposition with carotid endarterectomy. Also, thrombosis at one anastamosis site would not endanger the other site as well.

AB - BACKGROUND: We report a new method for treating patients with symptomatic high-grade stenosis of the proximal vertebral artery associated with high-grade stenosis of the ipsilateral carotid artery. METHODS: Our patient had high-grade stenosis of the proximal right vertebral artery as well as high-grade stenosis of the ipsilateral carotid artery and suffered continued posterior circulation ischemic neurological deficits despite anticoagulation. RESULTS: The patient was successfully treated with a carotid endarterectomy and thyrocervical-to-vertebral artery transposition in a single operation. CONCLUSION: This procedure has the advantage in this setting of avoiding additional cross clamping on the diseased carotid artery that would normally be required for the vertebral-to-carotid artery transposition with carotid endarterectomy. Also, thrombosis at one anastamosis site would not endanger the other site as well.

KW - Anastamosis

KW - Artery

KW - Stenosis

KW - Thyrocervical

KW - Transposition

KW - Vertebral

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DO - 10.1016/S0090-3019(97)00506-5

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AN - SCOPUS:0032975794

SN - 0090-3019

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JO - Surgical Neurology

JF - Surgical Neurology

IS - 3

ER -

Thyrocervical to vertebral artery transposition and ipsilateral carotid endarterectomy

Abstract

Keywords

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