Malone J M, Moore W S, Hamilton R, Smith M
Arch Surg. 1980 Jun;115(6):783-5. doi: 10.1001/archsurg.1980.01380060081024.
Selected patients with vertebral basilar insufficiency may obtain symptomatic relief after carotid endarterectomy. The usual surgical approach is that of initially performing carotid endarterectomy, if appropriate, followed at a second operation by extrathoracic vertebral reconstruction. This surgical approach is based in part on the need for different surgical incisions to reconstruct the cervical carotid and vertebral arteries. We describe a new surgical approach that utilizes a single cervical incision for combined carotid-vertebral reconstruction.
