Vertebral artery occlusion management

    • [PDF File]Endovascular Therapies for Extracranial Vertebral Artery ...

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      Management of Extracranial Vertebral Artery Disease . The optimal management of occlusive extracranial vertebral artery disease is not well-defined. Medical treatment with antiplatelet or anticoagulant medications is a mainstay of therapy to reduce stroke risk.


    • [PDF File]Vertebrobasilar Disease

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      artery in patients with symptoms of vertebral artery disease, is a member of our Vascular Surgery team. He has developed new techniques for the surgical ... disease, VBATD, basilar artery occlusion) Endarterectomy Bypass grafting Vertebral Artery Reconstruction ... Medical Management & Lifestyle Changes


    • Management of Intracranial Vertebral Artery Dissections

      Management of Intracranial Vertebral Artery Dissections Presenting with Isolated Pain Shinichi YAGI, M.D., ... ing vertebral artery dissection by angiography were targeted. In the cases accompanied with aneurys- ... cases showed complete occlusion (at 1.5 months and 5 months, respectively), 3 cases showed no ...


    • [PDF File]WHAT WOULD YOU DO? Basilar Thrombus and Occlusion of the ...

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      • Traversing the vertebral artery occlusion and performing the basilar thrombectomy first, then addressing the vertebral artery origin. This would require using the Dotter method at the origin occlusion with the guide catheter/inner catheter, then performing thrombectomy. After successful recanalization, the LVA origin lesion can be read-dressed.


    • [PDF File]A young woman with traumatic vertebral artery occlusion: a ...

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      Occlusion of the vertebral artery. J Neurol Neurosurg Psychiatry 1965;28(3):235. 2. Louw J, Mafoyane N, Small B, Neser C. Occlusion Of The Vertebral Artery In Cervical Spine Dislocations. J Bone Joint Surg Br 1990;72(4):679-81. 3. Safain Mg, Talan J, Malek Am, Hwang Sw. Spontaneous Atraumatic Vertebral Artery Occlusion Due To Physiological Cervical


    • [PDF File]CASE REPORT Stenting of complete vertebral artery ostial ...

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      of a complete left vertebral artery ostial occlusion. The complete occlusion was successfully treated with a drug-eluting stent. The patient has been symptom-free for 6 months. Stenting of vertebral artery ostial occlusion is technically feasible in well-selected cases. INTRODUCTION Posterior circulation strokes comprise 25e30% of all


    • [PDF File]Endovascular and Surgical Management of Vertebral Artery ...

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      to obtain complete occlusion of the vertebral artery. A subclavian angiogram at the end of the procedure demonstrated good perfusion of the basilar system from the left vertebral artery with normal opacification of the intracranial vessels of the posterior circulation. There was no contralateral filling of the aneurysm (Figs. 1d and 1e).


    • [PDF File]Endovascular management of intracranial vertebral artery ...

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      managed safely with coil occlusion of the lesion and/or parent artery. Even patients presenting in poor neurological condition may improve dramatically. KEY WORDS • dissecting aneurysm • vertebral artery aneurysm • endovascular treatment Neurosurg.


    • Management of Intraoperative Vertebral Artery Laceration

      angiogram with vertebral artery occlusion test. This can allow one to evaluate basilar artery blood flow following occlusion as well as the patient’s clinical tolerance for such a change. If surgery will involve radical excision of a segment of the vertebral artery, preoperative permanent occlusion can be performed.


    • ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/ SCAI/SIR/SNIS ...

      Management of Patients With Extracranial Carotid and Vertebral Artery Disease A Report of the American College of Cardiology Foundation/American Heart Association Task ... Arterial Stenosis and Occlusion .....e67 4.5. Atherosclerotic Disease of the Aortic


    • 1280 Original Article Management of the vertebral artery ...

      vertebral artery, showing reverse blood flow in the left vertebral artery after surgery (Figure 2). Due to the obvious weakness of the left vertebral artery in two cases, a balloon occlusion test was performed for the left vertebral artery (Figure 3). The results were negative, suggesting that direct LSA closure was necessary due to TEVAR.


    • Clinical Diagnosis of Vertebrobasilar Insufficiency ...

      the vertebral artery.19,31 In addition, the progression of neurological deficits associated with a vertebral or carotid artery ischemic event can take hours to weeks to appear.17,19 The physical examination portion of VBI screening involves placing and holding the patient’s head in several positions while monitoring for signs and


    • [PDF File]Stroke after visit to the hairdresser

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      shampooing, suggesting vertebral-basilar ischaemia or vertebral-artery dissection. The complications of carotid or vertebral artery occlusion and cerebral infarction are typically delayed over several hours the precipitating cause may be missed because doctors seldom ask about antecedent neck activities or


    • [PDF File]Carotid & Vertebral Artery Dissection - Update on Proper ...

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      Vertebral artery dissections typically present with occipito-cervical pain, which may be followed by a variety of posterior circulation ischemic symptoms including vertigo, dysarthria, visual field deficit, ataxia, and diplopia. Although strokes from vertebral artery dissection most frequently involve the lateral



    • Occlusion of the Vertebral or Basilar Artery

      Occlusion of the vertebral artery, the most frequent cause of lateral medullary infarction iden-tified at postmortem examination,3 has usually been associated with a relatively benign clinical course.4 In-frequent studies have attempted to correlate the severity of the neurological deficit with angio-


    • [PDF File]Vertebrobasilar artery dissection: current practice

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      vertebral artery; dissections in the latter may extend into the basilar artery. Vertebral artery dissections, which are potentially fatal, have no clearly stratified treatment protocols in the literature. With the introduction of endovascular treatment modalities in the management of cerebrovascular disease, however,


    • [PDF File]Vertebral Artery Compression of the Medulla

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      right vertebral artery that compressed the right medul-lary surface. This patient also had increased signal on T2-weighted imaging studies within the right medial medulla, representing either wallerian degeneration or damage from branch artery occlusion or compression (Figure 4C). Of note, 3 patients had MRIs that showed


    • [PDF File]Endovascular Management of Vertebrobasilar Dissecting ...

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      vertebral dissecting aneurysms were initially managed with proximal occlusion, and one additional lesion was treated with clip reconstruction of a dominant vertebral artery preserving the PICA. Nine of the 14 treated supra-PICA dissecting aneurysms were man-aged with infra-PICA occlusions and five with trap-ping.


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