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Endovascular Therapy of Vertebral Artery Disease

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Endovascular Interventions

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Abstract

Vertebral artery (VA) disease processes that are potentially treatable by endovascular means include extracranial atherosclerotic disease, arterial dissection, or blunt or penetrating trauma. Approximately 20 % of cerebral ischemic events involve the posterior circulation, and the extracranial VA is the most common source of symptoms. Risk factors for VA extracranial atherosclerotic disease are similar to those affecting the carotid circulation, although VA stenosis seems more common in the white population, and plaques at the origin of the VA seem more stable and less likely to present with ulceration and/or hemorrhage.

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Abbreviations

AP:

Anteroposterior

CT:

Computed tomography

F:

French

VA:

Vertebral artery

References

  1. Caplan L. Posterior circulation ischemia: then, now, and tomorrow. The Thomas Willis Lecture-2000. Stroke. 2000;31:2011–23.

    Article  PubMed  CAS  Google Scholar 

  2. Caplan LR. Caplan’s stroke. A clinical approach. 3rd ed. Stoneham: Butterworth-Heinemann; 2000.

    Google Scholar 

  3. Caplan LR, Gorelick PB, Hier DB. Race, sex and occlusive cerebrovascular disease: a review. Stroke. 1986;17:648–55.

    Article  PubMed  CAS  Google Scholar 

  4. Charbel F, Giupppy K, Carney A, Ausman J. Extracranial vertebral artery disease. In: Winn RH, editor. Youmans neurological surgery. 5th ed. Philadelphia: Saunders; 2004. p. 1691–714.

    Google Scholar 

  5. Imparato AM. Vertebral arterial reconstruction: a nineteen-year experience. J Vasc Surg. 1985;2:626–34.

    PubMed  CAS  Google Scholar 

  6. Spetzler RF, Hadley MN, Martin NA, Hopkins LN, Carter LP, Budny J. Vertebrobasilar insufficiency. Part 1: microsurgical treatment of extracranial vertebrobasilar disease. J Neurosurg. 1987;66:648–61.

    Article  PubMed  CAS  Google Scholar 

  7. Albuquerque FC, Fiorella D, Han P, Spetzler RF, McDougall CG. A reappraisal of angioplasty and stenting for the treatment of vertebral origin stenosis. Neurosurgery. 2003;53:607–16.

    Article  PubMed  Google Scholar 

  8. Jenkins JS, White CJ, Ramee SR, Collins TJ, Chilakamarri VK, McKinley KL, et al. Vertebral artery stenting. Catheter Cardiovasc Interv. 2001;54:1–5.

    Article  PubMed  CAS  Google Scholar 

  9. Cloud GC, Crawley F, Clifton A, McCabe DJ, Brown MM, Markus HS. Vertebral artery origin angioplasty and primary stenting: safety and restenosis rates in a prospective series. J Neurol Neurosurg Psychiatry. 2003;74:586–90.

    Article  PubMed  CAS  Google Scholar 

  10. Gupta R, Al-Ali F, Thomas AJ, Horowitz MB, Barrow T, Vora NA, et al. Safety, feasibility, and short-term follow-up of drug-eluting stent placement in the intracranial and extracranial circulation. Stroke. 2006;37:2562–6.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Buffalo General Medical Center, 100 High Street, Suite B4 (B Wing, 4th Floor), Buffalo, NY, 14203, USA

    Jorge L. Eller MD & Kenneth V. Snyder MD, PhD

  2. Department of Neurosurgery, Gates Vascular Institute, Kaleida Health, Buffalo, NY, USA

    Jorge L. Eller MD & Kenneth V. Snyder MD, PhD

  3. Department of Neurosurgery, Tampa General Hospital, 2 Tampa Circle, Tampa, Florida, 33606, USA

    Peter Kan MD, MPH

  4. Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, 14203, USA

    Kenneth V. Snyder MD, PhD

  5. Department of Radiology, University at Buffalo, State University of New York, Buffalo, NY, USA

    Kenneth V. Snyder MD, PhD

  6. Department of Neurology, Toshiba Stroke Research Center, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA

    Kenneth V. Snyder MD, PhD

Authors
  1. Jorge L. Eller MD
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  2. Peter Kan MD, MPH
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  3. Kenneth V. Snyder MD, PhD
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Editor information

Editors and Affiliations

  1. Edward Hines, Jr. VA Hospital Loyola University Medical Center, Glen Ellyn, Illinois, USA

    Robert S. Dieter

  2. Northern Illinois Surgery Center, Naperville, Illinois, USA

    Raymond A. Dieter, Jr.

  3. University of Tennessee Medical Center, Knoxville, Tennessee, USA

    Raymond A. Dieter, III

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© 2014 Springer Science+Business Media New York

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Eller, J.L., Kan, P., Snyder, K.V. (2014). Endovascular Therapy of Vertebral Artery Disease. In: Dieter, R., Dieter, Jr., R., Dieter, III, R. (eds) Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7312-1_10

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  • DOI: https://doi.org/10.1007/978-1-4614-7312-1_10

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7311-4

  • Online ISBN: 978-1-4614-7312-1

  • eBook Packages: MedicineMedicine (R0)

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