History of Vertebral Artery Surgery

  • Sachinder Singh Hans


Vertebral artery (VA) surgery is uncommon as compared to operations on extracranial common carotid artery (CCA) and internal carotid artery (ICA). The symptoms of hindbrain ischemia secondary to vertebrobasilar artery insufficiency are difficult to diagnose. The best surgical option for management of vertebral artery stenosis in its first portion (V1) is reimplantation of the VA into the CCA.

For lesions of V2 and V3 segments, a bypass from the CCA, occipital artery, or external carotid artery to vertebral artery in its third segment (V3) is the most commonly performed procedure.


Vertebral artery V1 V2 and V3 segment of vertebral artery Reimplantation of vertebral artery into CCA Vertebral artery aneurysm 


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Copyright information

© The Author(s) 2018

Authors and Affiliations

  • Sachinder Singh Hans
    • 1
    • 2
    • 3
  1. 1.Medical Director of Vascular and Endovascular ServicesHenry Ford Macomb HospitalClinton TownshipUSA
  2. 2.Chief of Vascular SurgerySt. John Macomb HospitalWarrenUSA
  3. 3.Department of SurgeryWayne State University School of Medicine DetroitUSA

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