Endarterectomy of the vertebral artery from C2 to posterior inferior cerebellar artery intracranially.
A new technical approach to endarterectomy of the vertebral artery at the cranial cervical junction is discussed. A patient had symptoms of vertebrobasilar insufficiency on clinical examination. Angiography demonstrated a stenotic plaque in the vertebral artery at the level of C1, and an additional tandem lesion at the origin of the posterior inferior cerebellar artery. He underwent vertebral endarterectomy and was symptomatically improved postoperatively. The surgical approach used and possible alternatives will be discussed in detail.
D002531:Cerebellum / Q000098:blood supply*; D002533:Cerebral Angiography; D003251:Constriction, Pathologic; D004691:Endarterectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014711:Vertebral Artery / Q000601:surgery*; D014715:Vertebrobasilar Insufficiency / Q000601:surgery