Reconstruction for Symptomatic Vertebral Artery Lesion Using Vertebral Artery to Carotid Artery Transposition: A Retrospective Study

Hybrid Repair of Left Subclavian Artery Pseudoaneurysm With Vertebral Artery Revascularisation: A Solution for a Complex Case

“…This technique has demonstrated excellent primary patency rates ranging from 95% to 100% but with a non-negligible 21.4% complication rate that includes Horner syndrome (7.1%), vocal cord paralysis (3.6%), and embolism of subclavian artery stenosis (3.6%). 8 Considering the significant left internal carotid artery stenosis observed in the patient, a carotid endarterectomy was carried out, thereby avoiding the need for a cervical re-intervention. This choice aligns with the findings of Gu et al., whose study concluded that the combination of revascularisation of the V1 segment of the vertebral artery and carotid endarterectomy is a safe approach.…”

Commentary: Minimally Invasive Occipital Artery to C1-C2 V3 Bypass: 2-Dimensional Operative Video

“…3 However, because the "exovascular" anatomy of the subclavian arteries is unfamiliar to most neurosurgeons, VA bypasses involving the proximal segment are often performed by vascular surgeons. 4,5 Other options include transposing the VA to the common carotid artery, 2,6 but the use of the occipital artery as the donor was described as early as 1985 by Hadley et al 7 This original technique has been modified by other groups, but they involve a recipient site on the VA at or above the level of C1. 8 Because a long segment of the occipital artery has to be harvested, the incisions and dissections involved in these techniques are not insignificant.…”