+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Distal ligation and revascularization from external carotid to vertebral artery with radial artery graft for treatment of extracranial vertebral artery dissection. Report of a case



Distal ligation and revascularization from external carotid to vertebral artery with radial artery graft for treatment of extracranial vertebral artery dissection. Report of a case



Acta Neurochirurgica 125(1-4): 192-195



We present a case of dissection of the extracranial vertebral artery with prominent occipital pain and elements of the lateral medullary syndrome. Arteriography showed a string and pearl sign. Magnetic resonance imaging allowed visualization of an intramural thrombus associated with a narrow vascular lumen. The distal portion of the diseased artery was ligated and vascular reconstruction using an inter-posed radial artery graft was performed. Pathological studies confirmed the diagnosis. The diagnostic roles of angiography and magnetic resonance imaging, and therapeutic strategies are discussed.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 008487087

Download citation: RISBibTeXText

PMID: 8122550


Related references

Vertebral artery-posterior inferior cerebellar artery bypass using a radial artery graft for hemorrhagic dissecting vertebral artery aneurysms: surgical technique and report of 2 cases. Journal of Neurosurgery 114(4): 1074-1079, 2011

Symptomatic occlusion at the origin of the vertebral artery treated using external carotid artery-cervical vertebral artery bypass with interposed saphenous vein graft. Surgical Neurology 69(2): 164-8; Discussion 168, 2008

Occipital artery to extracranial vertebral artery anastomosis for bilateral vertebral artery stenosis at the origin: A case report. Surgical Neurology International 9: 82, 2018

Skin collagen abnormalities in a Japanese patient with extracranial internal carotid artery dissection followed by extracranial vertebral artery dissection. Rinsho Shinkeigaku 46(2): 140-143, 2006

Extracranial vertebral artery dissection repeating distal embolism: case report. No Shinkei Geka. Neurological Surgery 33(4): 371-375, 2005

Vertebral Artery to Vertebral Artery Bypass with Interposed Radial Artery or Occipital Artery Grafts Surgical Technique and Report of 3 Cases. 2013

Vertebral artery-to-vertebral artery bypass with interposed radial artery or occipital artery grafts: surgical technique and report of three cases. World Neurosurgery 81(1): 202.E1-8, 2014

Endovascular treatment of innominate artery occlusion with simultaneous vertebral and carotid artery distal protection: case report. Neurosurgery 66(4): E843, 2010

Vertebral artery occlusion with vertebral artery-to-posterior inferior cerebellar artery stenting for preservation of the PICA in treating ruptured vertebral artery dissection. Acta Neurochirurgica 152(9): 1489-1492, 2010

Aneurysm of the Distal Posterior Inferior Cerebellar Artery Originating from the Extracranial and Extradural Vertebral Artery-Case Report-. Neurologia medico-chirurgica 43(6): 301-303, 2003

Systemic multiple aneurysms of the extracranial internal carotid artery, intracranial vertebral artery, and visceral arteries: case report. Neurosurgery 30(4): 600-602, 1992

Disabling segmental occlusion of the vertebral artery surgical treatment using a venous bypass from the external carotid to the c 1 c 2 portion of the vertebral artery 2 cases. Neurochirurgie 27(1): 59-64, 1981

An extracranial anastomosis between the area supplied by the external carotid artery and the vertebral artery. Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin 96: 201-203, 1962

Anomalous origin of the right vertebral artery: review of the literature and case report of right vertebral artery origin distal to the left subclavian artery. Ajnr. American Journal of Neuroradiology 20(7): 1318-1321, 1999

Usefulness of V3-Radial Artery Graft-V4 Bypass in Bilateral Fusiform Aneurysms of Vertebral Artery: Case Report. Neurologia medico-chirurgica 54(3): 189-191, 2014