Ausman J I, Diaz F G, Pearce J E, de los Reyes R A, Leuchter W, Mehta B, Patel S
Surg Neurol. 1982 Dec;18(6):400-4. doi: 10.1016/0090-3019(82)90170-7.
A new technical approach to endarterectomy of the vertebral artery at the cranial cervical junction is discussed. A patient had symptoms of vertebrobasilar insufficiency on clinical examination. Angiography demonstrated a stenotic plaque in the vertebral artery at the level of C1, and an additional tandem lesion at the origin of the posterior inferior cerebellar artery. He underwent vertebral endarterectomy and was symptomatically improved postoperatively. The surgical approach used and possible alternatives will be discussed in detail.
本文讨论了一种在颅颈交界处进行椎动脉内膜切除术的新技术方法。一名患者在临床检查时有椎基底动脉供血不足的症状。血管造影显示在C1水平的椎动脉有一个狭窄斑块，并且在小脑后下动脉起源处还有一个串联病变。他接受了椎动脉内膜切除术，术后症状得到改善。将详细讨论所使用的手术方法及可能的替代方案。
