[Is it possible to cure various disorders of stability or vertigo by surgical correction of tight stenosis of a supra-aortic artery?].
While the efficacy of vertebral arteries revascularisation on the symptoms of vertebrobasilar insufficiency (VBI = IVB in text) is well established, the effect of correction of stenosis of vessels other than the vertebral arteries on stability disorders and vertigo do not appear to have been studied to any extent. Furthermore, vertigo is not considered as specific to VBI. A retrospective study was therefore carried out to determine the outcome in 33 patients with static disorders or vertigo operated upon for a severe stenosis of a brachiocephalic trunk, a carotid artery or a subclavian artery, with or without associated stenosis of a vertebral artery which in all cases had been neglected. Two patients (6%) died during the early stages of this series. Mean duration of follow up was a little longer than 5 years. One month post-operation 61% of the survivors were asymptomatic, all the others reported marked improvement in their symptoms and all had resumed their social life. At a later stage two patients had a clinical relapse associated with new arterial stenosis. Findings in this small series suggest that it is possible to cure or improve patients with stability disorders or vertigo by the surgical correction of a severe stenosis of a supra-aortic artery other than a vertebral artery.
Mellière
D
D
Service de Chirurgie vasculaire, hôpital Henri-Mondor, Créteil.
Le Chevillier
B
B
Ecollan
P
P
Fitoussi
M
M
D000328:Adult; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000601:surgery; D002340:Carotid Artery Diseases / Q000601:surgery; D004244:Dizziness / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013348:Subclavian Artery / Q000601:surgery; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000601:surgery; D014717:Vertigo / Q000209:etiology / Q000601:surgery*
Peut-on guérir certains troubles de stabilité ou vertiges en corrigeant chirurgicalement une sténose serrée d'une artère supra-aortique?