Reconstruction of intracranial vertebral artery with radial artery and occipital artery grafts for fusiform intracranial vertebral aneurysm not amenable to endovascular treatment: technical note
Background Symptomatic fusiform intracranial vertebral artery aneurysms pose a formidable treatment challenge when not amenable to endovascular treatment. In this paper, we illustrate the microsurgical management of such an aneurysm. Methods To prevent neurological deterioration, anatomical reconstr...
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| Veröffentlicht in: | Acta neurochirurgica 2013-08, Vol.155 (8), p.1517-1524 |
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| container_title | Acta neurochirurgica |
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| creator | Kubota, Hisashi Tanikawa, Rokuya Katsuno, Makoto Noda, Kosumo Ota, Nakao Miyata, Shiro Yabuuchi, Tomonari Izumi, Naoto Bulsara, Ketan R. Hashimoto, Masaaki |
| description | Background
Symptomatic fusiform intracranial vertebral artery aneurysms pose a formidable treatment challenge when not amenable to endovascular treatment. In this paper, we illustrate the microsurgical management of such an aneurysm.
Methods
To prevent neurological deterioration, anatomical reconstruction preserving all vessels including posterior inferior cerebellar artery and perforators is essential. In this case illustration, the occipital artery was used as a donor to a perforator originating from the aneurysmal segment. This bypass was performed in an end-to-side fashion. Subsequently, the aneurysmal component of the vertebral artery was resected and an end-to-side (V4 to V3) bypass was performed using a radial artery graft.
Results
The patient achieved complete resection of the aneurysm preserving normal anatomy of the posterior circulation without any ischemic complications.
Conclusions
Complex cerebral artery bypass techniques are essential in the armamentarium of cerebrovascular for the treatment of complex lesions not amenable to endovascular therapy. |
| doi_str_mv | 10.1007/s00701-013-1715-z |
| format | Article |
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Symptomatic fusiform intracranial vertebral artery aneurysms pose a formidable treatment challenge when not amenable to endovascular treatment. In this paper, we illustrate the microsurgical management of such an aneurysm.
Methods
To prevent neurological deterioration, anatomical reconstruction preserving all vessels including posterior inferior cerebellar artery and perforators is essential. In this case illustration, the occipital artery was used as a donor to a perforator originating from the aneurysmal segment. This bypass was performed in an end-to-side fashion. Subsequently, the aneurysmal component of the vertebral artery was resected and an end-to-side (V4 to V3) bypass was performed using a radial artery graft.
Results
The patient achieved complete resection of the aneurysm preserving normal anatomy of the posterior circulation without any ischemic complications.
Conclusions
Complex cerebral artery bypass techniques are essential in the armamentarium of cerebrovascular for the treatment of complex lesions not amenable to endovascular therapy.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-013-1715-z</identifier><identifier>PMID: 23649987</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Aneurysm - surgery ; Cerebral Angiography - methods ; Cerebral Revascularization - methods ; Humans ; Interventional Radiology ; Intracranial Aneurysm - surgery ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgery ; Neurology ; Neuroradiology ; Neurosurgery ; Neurosurgical Procedures ; Radial Artery - transplantation ; Surgical Orthopedics ; Technical Note - Vascular ; Vertebral Artery - surgery</subject><ispartof>Acta neurochirurgica, 2013-08, Vol.155 (8), p.1517-1524</ispartof><rights>Springer-Verlag Wien 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-975300ebbd1425ba9ef81b417298eedac297173a4a20195cf9e9e08e5817d8943</citedby><cites>FETCH-LOGICAL-c372t-975300ebbd1425ba9ef81b417298eedac297173a4a20195cf9e9e08e5817d8943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00701-013-1715-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00701-013-1715-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23649987$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kubota, Hisashi</creatorcontrib><creatorcontrib>Tanikawa, Rokuya</creatorcontrib><creatorcontrib>Katsuno, Makoto</creatorcontrib><creatorcontrib>Noda, Kosumo</creatorcontrib><creatorcontrib>Ota, Nakao</creatorcontrib><creatorcontrib>Miyata, Shiro</creatorcontrib><creatorcontrib>Yabuuchi, Tomonari</creatorcontrib><creatorcontrib>Izumi, Naoto</creatorcontrib><creatorcontrib>Bulsara, Ketan R.</creatorcontrib><creatorcontrib>Hashimoto, Masaaki</creatorcontrib><title>Reconstruction of intracranial vertebral artery with radial artery and occipital artery grafts for fusiform intracranial vertebral aneurysm not amenable to endovascular treatment: technical note</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir</addtitle><addtitle>Acta Neurochir (Wien)</addtitle><description>Background
Symptomatic fusiform intracranial vertebral artery aneurysms pose a formidable treatment challenge when not amenable to endovascular treatment. In this paper, we illustrate the microsurgical management of such an aneurysm.
Methods
To prevent neurological deterioration, anatomical reconstruction preserving all vessels including posterior inferior cerebellar artery and perforators is essential. In this case illustration, the occipital artery was used as a donor to a perforator originating from the aneurysmal segment. This bypass was performed in an end-to-side fashion. Subsequently, the aneurysmal component of the vertebral artery was resected and an end-to-side (V4 to V3) bypass was performed using a radial artery graft.
Results
The patient achieved complete resection of the aneurysm preserving normal anatomy of the posterior circulation without any ischemic complications.
Conclusions
Complex cerebral artery bypass techniques are essential in the armamentarium of cerebrovascular for the treatment of complex lesions not amenable to endovascular therapy.</description><subject>Aneurysm - surgery</subject><subject>Cerebral Angiography - methods</subject><subject>Cerebral Revascularization - methods</subject><subject>Humans</subject><subject>Interventional Radiology</subject><subject>Intracranial Aneurysm - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosurgery</subject><subject>Neurosurgical Procedures</subject><subject>Radial Artery - transplantation</subject><subject>Surgical Orthopedics</subject><subject>Technical Note - Vascular</subject><subject>Vertebral Artery - surgery</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1Ud1qFTEQXkSxtfoA3kjAm96s5m9PNt5JsSoUBNHrkM3Otim7yXGSrZw-nk_mHE61IvRmZjLfTwa-pnkp-BvBuXlbqHDRcqFaYUTX3j5qjrnVsqXCH9PMCd3ITX_UPCvlml7SaPW0OZJqo63tzXHz6yuEnErFNdSYE8sTi6miD-hT9DO7AawwIE2eBtyxn7FeMfRjvF_5NLIcQtzGer-8RD_VwqaMbFpLpL486JxgxV1ZWMqV-QWSH2ZgNTNIY77xJayzR1YRfCWwvmMVwlWKgaSkgOfNk8nPBV7c9ZPm-_mHb2ef2osvHz-fvb9ogzKyttZ0inMYhlFo2Q3ewtSLQQsjbQ8w-iCtEUZ57SUXtguTBQu8h64XZuytVifN6cF3i_nHCqW6JZYA80z357U4oYUUnTWbPfX1f9TrvGKi6_YswTWXShFLHFgBcykIk9tiXDzunOBuH7A7BOwoYLcP2N2S5tWd8zosMP5V_EmUCPJAKASlS8B_vn7Q9TexqbbV</recordid><startdate>20130801</startdate><enddate>20130801</enddate><creator>Kubota, Hisashi</creator><creator>Tanikawa, Rokuya</creator><creator>Katsuno, Makoto</creator><creator>Noda, Kosumo</creator><creator>Ota, Nakao</creator><creator>Miyata, Shiro</creator><creator>Yabuuchi, Tomonari</creator><creator>Izumi, Naoto</creator><creator>Bulsara, Ketan R.</creator><creator>Hashimoto, Masaaki</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20130801</creationdate><title>Reconstruction of intracranial vertebral artery with radial artery and occipital artery grafts for fusiform intracranial vertebral aneurysm not amenable to endovascular treatment: technical note</title><author>Kubota, Hisashi ; Tanikawa, Rokuya ; Katsuno, Makoto ; Noda, Kosumo ; Ota, Nakao ; Miyata, Shiro ; Yabuuchi, Tomonari ; Izumi, Naoto ; Bulsara, Ketan R. ; Hashimoto, Masaaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-975300ebbd1425ba9ef81b417298eedac297173a4a20195cf9e9e08e5817d8943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aneurysm - surgery</topic><topic>Cerebral Angiography - methods</topic><topic>Cerebral Revascularization - methods</topic><topic>Humans</topic><topic>Interventional Radiology</topic><topic>Intracranial Aneurysm - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgery</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosurgery</topic><topic>Neurosurgical Procedures</topic><topic>Radial Artery - transplantation</topic><topic>Surgical Orthopedics</topic><topic>Technical Note - Vascular</topic><topic>Vertebral Artery - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kubota, Hisashi</creatorcontrib><creatorcontrib>Tanikawa, Rokuya</creatorcontrib><creatorcontrib>Katsuno, Makoto</creatorcontrib><creatorcontrib>Noda, Kosumo</creatorcontrib><creatorcontrib>Ota, Nakao</creatorcontrib><creatorcontrib>Miyata, Shiro</creatorcontrib><creatorcontrib>Yabuuchi, Tomonari</creatorcontrib><creatorcontrib>Izumi, Naoto</creatorcontrib><creatorcontrib>Bulsara, Ketan R.</creatorcontrib><creatorcontrib>Hashimoto, Masaaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kubota, Hisashi</au><au>Tanikawa, Rokuya</au><au>Katsuno, Makoto</au><au>Noda, Kosumo</au><au>Ota, Nakao</au><au>Miyata, Shiro</au><au>Yabuuchi, Tomonari</au><au>Izumi, Naoto</au><au>Bulsara, Ketan R.</au><au>Hashimoto, Masaaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reconstruction of intracranial vertebral artery with radial artery and occipital artery grafts for fusiform intracranial vertebral aneurysm not amenable to endovascular treatment: technical note</atitle><jtitle>Acta neurochirurgica</jtitle><stitle>Acta Neurochir</stitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2013-08-01</date><risdate>2013</risdate><volume>155</volume><issue>8</issue><spage>1517</spage><epage>1524</epage><pages>1517-1524</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><abstract>Background
Symptomatic fusiform intracranial vertebral artery aneurysms pose a formidable treatment challenge when not amenable to endovascular treatment. In this paper, we illustrate the microsurgical management of such an aneurysm.
Methods
To prevent neurological deterioration, anatomical reconstruction preserving all vessels including posterior inferior cerebellar artery and perforators is essential. In this case illustration, the occipital artery was used as a donor to a perforator originating from the aneurysmal segment. This bypass was performed in an end-to-side fashion. Subsequently, the aneurysmal component of the vertebral artery was resected and an end-to-side (V4 to V3) bypass was performed using a radial artery graft.
Results
The patient achieved complete resection of the aneurysm preserving normal anatomy of the posterior circulation without any ischemic complications.
Conclusions
Complex cerebral artery bypass techniques are essential in the armamentarium of cerebrovascular for the treatment of complex lesions not amenable to endovascular therapy.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>23649987</pmid><doi>10.1007/s00701-013-1715-z</doi><tpages>8</tpages></addata></record> |
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| subjects | Aneurysm - surgery Cerebral Angiography - methods Cerebral Revascularization - methods Humans Interventional Radiology Intracranial Aneurysm - surgery Medicine Medicine & Public Health Minimally Invasive Surgery Neurology Neuroradiology Neurosurgery Neurosurgical Procedures Radial Artery - transplantation Surgical Orthopedics Technical Note - Vascular Vertebral Artery - surgery |
| title | Reconstruction of intracranial vertebral artery with radial artery and occipital artery grafts for fusiform intracranial vertebral aneurysm not amenable to endovascular treatment: technical note |
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