Abstract
Vertebral artery (VA) surgery is uncommon as compared to operations on extracranial common carotid artery (CCA) and internal carotid artery (ICA). The symptoms of hindbrain ischemia secondary to vertebrobasilar artery insufficiency are difficult to diagnose. The best surgical option for management of vertebral artery stenosis in its first portion (V1) is reimplantation of the VA into the CCA.
For lesions of V2 and V3 segments, a bypass from the CCA, occipital artery, or external carotid artery to vertebral artery in its third segment (V3) is the most commonly performed procedure.
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Hans, S.S. (2018). History of Vertebral Artery Surgery. In: Hans, S. (eds) Extracranial Carotid and Vertebral Artery Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-91533-3_5
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DOI: https://doi.org/10.1007/978-3-319-91533-3_5
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