Saphenous vein graft to the distal vertebral artery between C-1 and C-2 using a lateral-anterior approach

1992 ◽  
Vol 77 (5) ◽  
pp. 812-815 ◽  
Author(s):  
Susumu Miyamoto ◽  
Haruhiko Kikuchi ◽  
Izumi Nagata ◽  
Yoshinori Akiyama ◽  
Kenjiro Itoh ◽  
...  

✓ The authors present a modified surgical procedure for extracranial vertebral artery reconstruction. The use of the proposed technique results in access to the V3 segment of the vertebral artery between the C-1 and C-2 vertebrae through the retrojugular space without requiring bone rongeuring. A saphenous vein bypass graft was placed between the common carotid artery and the V3 segment of the vertebral artery in three patients with bilateral occlusive lesions of the proximal vertebral arteries.

1985 ◽  
Vol 62 (3) ◽  
pp. 334-339 ◽  
Author(s):  
Howard J. Senter ◽  
Sami M. Bittar ◽  
Edwin T. Long

✓ Hemodynamic insufficiency resulting from extracranial vertebral artery stenosis or occlusion is believed to be the major cause of vertebrobasilar transient ischemic attacks. The major difficulties in treating this disorder have been exposure of the vertebral artery distal to the stenosis and the risk of vertebral artery cross-clamping for vein grafting or carotid artery transposition. The authors describe a new technique for vertebral artery reconstruction at any level by the use of an intraluminal shunt, thus avoiding the necessity to cross-clamp the artery. This procedure was successfully performed at all three levels of the extracranial vertebral artery: C7-4, C3-1, and C-1 to the foramen magnum. The technique of exposure of the vertebral artery at these three levels and the method of vein grafting without cross-clamping are described. The initial results of the procedure are presented.


Neurosurgery ◽  
1998 ◽  
Vol 43 (5) ◽  
pp. 1212-1214 ◽  
Author(s):  
Shigekazu Takeuchi ◽  
Hiroshi Abe ◽  
Ryuichi Tanaka ◽  
Jun-ichi Hayashi

1998 ◽  
Vol 89 (4) ◽  
pp. 671-675 ◽  
Author(s):  
Akio Morita ◽  
Laligam N. Sekhar

✓ Protection of the vein of Labbé is a significant concern during surgery that involves retraction of the temporal lobe. A cranial base surgical approach, especially one via the presigmoid—petrosal route, carries considerable risk to this venous complex. A case is presented in which a large dominant vein of Labbé was injured during resection of a petroclival meningioma. This vein drained all the sylvian venous circulation as well as the lateral temporal surface; no connection to another venous system was noted. The vein was successfully reconstructed using a short saphenous vein bypass graft. Significant complications could have occurred without this reconstruction. The technique and benefits of this type of reconstruction are discussed.


2001 ◽  
Vol 94 (5) ◽  
pp. 806-810 ◽  
Author(s):  
William T. Couldwell ◽  
Joseph Zuback ◽  
Eugenia Onios ◽  
Brij Singh Ahluwalia ◽  
Michael Tenner ◽  
...  

✓ Petrous and cavernous sinus carotid artery (CA) aneurysms that are not amenable to clip ligation or endovascular therapy may be successfully treated by a saphenous vein bypass, thereby preserving the patency of the CA. The authors report the unique case of a 47-year-old man with a giant fusiform aneurysm of the petrous CA, who presented with a rapid onset of a lateral rectus palsy and diplopia. The lesion was treated by trapping the aneurysm and performing a saphenous vein bypass from the cervical to the intracranial CA. The saphenous vein graft was routed beneath the condyle of the mandible to reduce the overall length of the graft, thereby increasing the likelihood of long-term patency and offering protection to the graft by the mandible, temporal muscle zygomatic process, and masseter and temporal muscles. The presentation and technical aspects of the bypass graft in this unique case are discussed.


2013 ◽  
Vol 12 (1) ◽  
pp. 12 ◽  
Author(s):  
Theodor Baars ◽  
Thomas Konorza ◽  
Philipp Kahlert ◽  
Stefan Möhlenkamp ◽  
Raimund Erbel ◽  
...  

1988 ◽  
Vol 16 (1) ◽  
pp. 1-7
Author(s):  
SUSUMU NAKATANI ◽  
Hajime HIROSE ◽  
Kohji OZAKI ◽  
Yoshikazu IWATA ◽  
Heitaro MOGAMI

1981 ◽  
Vol 32 (4) ◽  
pp. 411-414 ◽  
Author(s):  
Paul Tibbits ◽  
Kevin Stanton ◽  
Halbert Ashworth ◽  
William Baker

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