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KMID : 1005420100120020057
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Journal of Cerebrovascular and Endovascular Neurosurgery
2010 Volume.12 No. 2 p.57 ~ p.60
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Occipital Artery to Distal Extracranial Vertebral Artery Bypass for Bilateral Proximal Vertebral Artery Occlusion
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Kim Yong-Chan
Oh Chang-Wan
Kwon O-Ki
Hwang Gyo-Jun
Hwang Gyo-Jun
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Abstract
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Vertebrobasilar insufficiency can be caused by proximal vertebral artery (VA) occlusion. Performing endovascular recanalization for treating VA occlusion has high procedural risks, including vessel perforation. In contrast, surgical revascularization of the distal extracranial VA had been used for many decades to treat proximal VA occlusion or stenosis, and its safety and satisfactory long-term outcome are well established. We report here on a case of successful surgical revascularization by performing occipital artery to distal extracranial VA bypass for bilateral proximal VA occlusion and we discuss its potential role for the treatment of medical refractory recurrent ischemia in the vertebrobasilar territory.
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KEYWORD
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Vertebral artery occlusion, Bypass
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