Treatment of vertebrobasilar insufficiency

Abstract

This article provides an up-to-date literature review on the role of pathological changes in the extracranial, trunk segments of the vertebral arteries (VA) in the development of chronic and progressive vertebrobasilar insufficiency (VBI). Improving methodology of differentiated reconstructive interventions for VA stenosis based on specifically determined vascular territory with application of microsurgery instruments and minimally invasive technologies has made it possible to determine that all other conditions that could lead to the formation of VBI should be excluded in patients with this clinical picture during the planning of arterial reconstruction, and possible outflow pathways and reactivity of the arteries of the vertebrobasilar territory should be determined.