How I do it: Sternocleidomastoid sparing approach for the right vertebral artery to common carotid artery transposition.
Anastomosis
Common carotid artery
Transposition
Vertebral artery
Vertebrobasilar insufficiency
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
05 Jun 2024
05 Jun 2024
Historique:
received:
15
02
2024
accepted:
04
05
2024
medline:
6
6
2024
pubmed:
6
6
2024
entrez:
5
6
2024
Statut:
epublish
Résumé
Direct surgery is an important option to treat vertebral artery (VA) stenosis. A patient with symptomatic stenosis at the origin of the right VA underwent transposition of the right VA to the common carotid artery (CCA). Using the sternocleidomastoid sparing approach, the VA was anastomosed to the posterior wall of the CCA by twisting the CCA to expose its posterior wall to face the operative field. This approach, consisting of securing the proximal VA and then following it to its distal end, not only preserves the sternocleidomastoid muscle but also protects the sympathetic chains and thoracic duct.
Sections du résumé
BACKGROUND
BACKGROUND
Direct surgery is an important option to treat vertebral artery (VA) stenosis.
METHOD
METHODS
A patient with symptomatic stenosis at the origin of the right VA underwent transposition of the right VA to the common carotid artery (CCA). Using the sternocleidomastoid sparing approach, the VA was anastomosed to the posterior wall of the CCA by twisting the CCA to expose its posterior wall to face the operative field.
CONCLUSION
CONCLUSIONS
This approach, consisting of securing the proximal VA and then following it to its distal end, not only preserves the sternocleidomastoid muscle but also protects the sympathetic chains and thoracic duct.
Identifiants
pubmed: 38839607
doi: 10.1007/s00701-024-06114-x
pii: 10.1007/s00701-024-06114-x
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
251Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.
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