title: Surgical treatment of partial extraluminal occlusion of first part of vertebral artery.
abstract: This report presents the clinical concept of hindbrain ischemia due to partial extraluminal occlusion of a segment of the first part of the vertebral artery, and submits a definite method of surgical treatment. Thirty one patients with vertebral artery insufficiency are presented who had operations with striking post-operative symptomatic improvement. Operative selection of patients is dependent on aortic arch angiography with visualization of the neck vessels. There was no mortality and no significant morbidity in this series.
mesh_terms: D000328:Adult; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology; D008297:Male; D008875:Middle Aged; D004856:Postural Balance; D011859:Radiography; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000601:surgery*