Laurian C, Georges B, Houdart R, Cormier J M
Sem Hop. 1984 Feb 16;60(8):547-52.
This article reviews 11 cases of distal revascularization of the extracranial vertebral artery above C2. Revascularization was indicated in 7 cases of extensive atheromatous stenotic or occlusive lesions, 3 cases of dissecting aneurysm, and one case of cervical malformation of the vertebral artery. The procedure of choice was a venous graft - in the C1/C2 space in 10 cases and above C1 in the eleventh. Doppler tests, ultrasound and arteriography demonstrated the patency of all the bypasses, and this was confirmed, 6 months to 3 years postoperatively, by Doppler and ultrasound. No neurological anomalies were observed either during the postoperative course or subsequently. The satisfactory results obtained would seem to justify extension of indications to include the treatment of atheromatous lesions of the supra-aortic trunks, and also adjacent vascular tumors (vertebral bone tumors, or complex cervical malformations of the vertebral artery).
本文回顾了11例C2以上颅外椎动脉远端血管重建术的病例。血管重建适用于7例广泛性动脉粥样硬化性狭窄或闭塞性病变、3例夹层动脉瘤以及1例椎动脉颈椎畸形。首选的手术方式是静脉移植——10例在C1/C2间隙进行，第11例在C1以上进行。多普勒检查、超声和动脉造影显示所有旁路均通畅，术后6个月至3年通过多普勒和超声检查证实了这一点。术后及随后均未观察到神经异常。所取得的满意结果似乎证明可以扩大适应症，包括治疗主动脉弓上干的动脉粥样硬化病变以及相邻的血管肿瘤（椎骨肿瘤或复杂的椎动脉颈椎畸形）。
