枕动脉至颅外椎动脉吻合术治疗双侧椎动脉起始部狭窄：一例报告
Occipital artery to extracranial vertebral artery anastomosis for bilateral vertebral artery stenosis at the origin: A case report.
作者信息
Katsuki Masahito, Yamamoto Yasunaga, Wada Naomichi, Kakizawa Yukinari
机构信息
Department of Neurosurgery, Suwa Red Cross Hospital, Kogandori, Suwa, Nagano, Japan.
出版信息
Surg Neurol Int. 2018 Apr 16;9:82. doi: 10.4103/sni.sni_20_18. eCollection 2018.
BACKGROUND
Revascularization of posterior circulation is essential in patients with severe bilateral vertebral artery (VA) stenosis despite administering maximal medical treatment, due to the high mortality of posterior circulation stroke.
CASE DESCRIPTION
We present a 69-year-old man with bilateral severe VA stenosis at the origins, treated with occipital artery (OA)-distal VA anastomosis.
CONCLUSION
Endovascular treatment and other surgical treatments, such as bypass grafting, are effective, but OA-VA anastomosis is a safe and effective procedure for revascularization of the posterior circulation.
背景
尽管进行了最大程度的药物治疗，但由于后循环卒中的高死亡率，对于双侧椎动脉（VA）严重狭窄的患者，后循环血运重建至关重要。
病例描述
我们报告了一名69岁男性，其双侧椎动脉起始部严重狭窄，接受了枕动脉（OA）-椎动脉远端吻合术治疗。
结论
血管内治疗和其他外科治疗，如旁路移植术，是有效的，但枕动脉-椎动脉吻合术是后循环血运重建的一种安全有效的手术方法。
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