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The Vertebral Artery

Pathology and Surgery

  • Bernard George
  • Claude Laurian

Table of contents

  1. Front Matter
    Pages I-VIII
  2. Bernard George, Claude Laurian
    Pages 1-5
  3. Bernard George, Claude Laurian
    Pages 6-17
  4. Bernard George, Claude Laurian
    Pages 18-22
  5. Bernard George, Claude Laurian
    Pages 23-42
  6. Bernard George, Claude Laurian
    Pages 43-57
  7. Bernard George, Claude Laurian
    Pages 58-76
  8. Bernard George, Claude Laurian
    Pages 77-89
  9. Bernard George, Claude Laurian
    Pages 90-96
  10. Bernard George, Claude Laurian
    Pages 97-101
  11. Bernard George, Claude Laurian
    Pages 102-113
  12. Bernard George, Claude Laurian
    Pages 114-128
  13. Bernard George, Claude Laurian
    Pages 129-150
  14. Bernard George, Claude Laurian
    Pages 151-182
  15. Bernard George, Claude Laurian
    Pages 183-230
  16. Bernard George, Claude Laurian
    Pages 231-232
  17. Back Matter
    Pages 233-259

About this book

Introduction

Our common interest in surgery of the vertebral artery was born in 1976, when as residents in the same hospital, we attended an attempt by two senior surgeons to treat an aneurysm of the vertebral artery at the C 3 level. Long discussions had preceded this unsuccessful trial, to decide if surgery was indicated and to choose the surgical route. Finally a direct lateral approach was performed, but access was difficult and correct treatment was impossible, resulting in only partial reduction of the aneurysmal pouch. Following this experience, we decided to seek a regular and well defined approach for exposition of the vertebral artery. Review of the literature indicated some surgical attempts, but the descriptions did not give the impression of safety and reproducibility. No landmark on the described surgical route appeared sufficiently reliable. Henry's anatomical work (1917) gave the only accurate description on vertebral artery anatomy, and it became the basis for our work. When the same patient was referred again one year later, after a new stroke in the vertebro-basilar system, we had behind us repetitive experience on cadavers of an original approach to the distal vertebral artery.

Keywords

Stent anatomy aneurysm arteries artery atherosclerosis pathophysiology physiology radiology stroke surgery trauma tumor

Authors and affiliations

  • Bernard George
    • 1
  • Claude Laurian
    • 2
  1. 1.Department of NeurosurgeryHôpital LariboisièreParisFrance
  2. 2.Department of Vascular SurgeryHôpital Saint JosephParisFrance

Bibliographic information