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KMID : 0357019980140020261
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Journal of the Korean Vascular Surgery Society
1998 Volume.14 No. 2 p.261 ~ p.264
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Surgical Treatment of Vertebrobasilar Insufficiency
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Kim Geun-Eun
Kim Ho-Sung
Kwon Tae-Won
Cho Yong-Pil
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Abstract
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Vertebral artery reconstructions are less frequently performed in Korea and diagnosis of vertebrobasilar insufficiency is often missed due to complexity of the symptoms. Authors report 15 vertebral artery reconstructions from September 1995 through December 1997: 5 saphenous vein patch angioplasty, 3 axillary-axillary artery bypass, 2 bovine patch angioplasty, 2 subclavian-vertebral artery bypass, 1 thyrocervical trunk-vertebral artery bypass, 1 carotid-vertebral artery bypass, 1 angioplasty of left vertebral artery & concomitant left subclavian-right axillary artery bypass following by percutaneous transluminal stented angioplasty of innominate artery. Majority of pathology were arteriosclerosis (13 patients) with stenosis at subclavian-vertebral artery junction and Takayasu´ s arteritis were next (2 patients). Postoperative result was satisfactory and symptoms of dysarthria, ataxic gate, dizziness or vertigo were relieved in all patients. With proper surgical treatment, symptomatic improvement and prevention of cerebral ischemia in vertebrobasilar insufficiency can be achieved.
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KEYWORD
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Vertebrobasilar insufficiency
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