title: Combined carotid-vertebral vascular disease: a new surgical approach.
abstract: Selected patients with vertebral basilar insufficiency may obtain symptomatic relief after carotid endarterectomy. The usual surgical approach is that of initially performing carotid endarterectomy, if appropriate, followed at a second operation by extrathoracic vertebral reconstruction. This surgical approach is based in part on the need for different surgical incisions to reconstruct the cervical carotid and vertebral arteries. We describe a new surgical approach that utilizes a single cervical incision for combined carotid-vertebral reconstruction.
mesh_terms: D000368:Aged; D001161:Arteriosclerosis / Q000150:complications / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000150:complications / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery; D004691:Endarterectomy; D006801:Humans; D008297:Male; D008722:Methods; D014715:Vertebrobasilar Insufficiency / Q000150:complications / Q000601:surgery*