Skip to main content
SpringerLink
Log in

Surgical Possibilities in the Third Portion of the Vertebral Artery (Above C2)

Anatomical Study and Report of a Case of Anastomosis Between Subclavian Artery and Vertebral Artery at C 1–C 2 Level

  • Conference paper
Proceedings of the 6th European Congress of Neurosurgery

Part of the book series: Acta Neurochirurgica ((NEUROCHIRURGICA,volume 28))

Abstract

Operations on the vertebral artery (VA) below its entry into the foramen transversarium of C6 are well known7, 15. Above, in the foramina transversaria, exposure of the vertebral artery has been performed for arteriovenous fistula4, 8, 12−14, 18, 19, 21 compressive uncodiscarthrosis9−17, or anastomosis from the external carotid artery5, 6 In the third portion, between C2 and the foramen magnum, the surgical route is much less well-known. A reappraisal of surgical possibilities in this portion of the vertebral artery has been performed after anatomical study. A simple route was defined and was used in one case.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Ausman, J. I., Lee, M. C., Klassen, A. C., Seljeskog, E. L., Chou, S. N., Stroke: what’s new? Cerebral revascularization. Minn. Med. 58 (1976), 223–227.

    Google Scholar 

  2. Ausman, J. I., Nicoloff, D. M., Chou, S. N., Posterior fossa revascularization: anastomosis of vertebral artery to PICA with interposed radial artery graft. Surg. Neurol. 9 (1978), 281–285.

    PubMed  CAS  Google Scholar 

  3. Binkley, F. M., Wylie, E. J., A new technique for obliteration of cerebro-vascular arterio-venous fistulae. Arch. Surg. 106 (1973), 524–527.

    Article  PubMed  CAS  Google Scholar 

  4. Chou, S. N., Story, J. L., Seljeskog, E. L., French, L. A., Further experience with arterio-venous fistulas of the vertebral artery in the neck. Surgery 62, 4 (1967), 779–788.

    PubMed  CAS  Google Scholar 

  5. Clark, K., Perry, M. O., Carotid vertebral anastomosis. An alternate technic for repair of the sub-clavian steal syndrome. Ann. Surg. 163, 3 (1966), 414–416.

    Article  PubMed  CAS  Google Scholar 

  6. Corkill, C., External carotid vertebral anastomosis for vertebro-basilar insufficiency. Surg. Neurol. 7 (1977), 109–115.

    PubMed  CAS  Google Scholar 

  7. Cormier, J. M., Laurian, C., Surgical management of vertebro-basilar insufficiency. J. Cardio-vasc. Surg. 17 (1976), 205–223.

    CAS  Google Scholar 

  8. Elkin, D. C., Harris, M. H., Arterio-venous aneurysm of the vertebral vessels. Report of ten cases. Ann. Surg. 124, 5 (1946), 934–951.

    Article  Google Scholar 

  9. Gortvai, P., Insufficiency of vertebral artery treated by decompression of its cervical part. Brit. Med. J. 2 (1964), 233–234.

    Article  PubMed  CAS  Google Scholar 

  10. Henry, A. K., Exposures of long bones and other surgical methods. Bristol: J. Wright and Sons Ltd. 1927 (Extensile exposure, Ed. 2), pp. 58–72. Baltimore: Williams and Wilkins Company. 1963.

    Google Scholar 

  11. Khodadad, G., Occipital artery posterior inferior cerebellar artery anastomosis. Surg. Neurol. 5 (1976), 225–227.

    PubMed  CAS  Google Scholar 

  12. Kornmesser, T. W., Bergan, J. J., Anatomic control of vertebral arteriovenous fistulas. Surgery 75, 1 (1974), 80–86.

    PubMed  CAS  Google Scholar 

  13. Kuttner, I., Die Verletzungen und traumatischen Aneurysmen der Vertebralisgefäße am Halse und ihre operative Behandlung. Bruns. Beitr. Klin. Chir. 1 (1917), 108.

    Google Scholar 

  14. Jefferson, G., Bailey, R. A., Kerr, A. S., Suboccipital arterio-venous aneurysms of the vertebral artery. J. Bone Joint Surg. 38 B (1965), 114–127.

    Google Scholar 

  15. Labauge, R., Thevenet, A., Peguret, C., Cesari, J. B., Résultats du traitement chirurgical des obstructions de l’artère vertébrale. 75° congrès Français de Chirurgie, pp. 150–160. Paris: Masson. 1976.

    Google Scholar 

  16. Matas, R., Traumatisms and traumatic aneurysms of the vertebral artery and their surgical treatment with the report of a cured case. Ann. Surg. 18 (1893), 477–517.

    Article  PubMed  CAS  Google Scholar 

  17. Pasztor, E., Decompression of vertebral artery in cases of cervical spondylosis. Surg. Neurol. 9 (1978), 371–377.

    PubMed  CAS  Google Scholar 

  18. Sher, M. H., Meyer, N.I., Lenhardt, H. F., Trummer, M. J., Arterio-venous fistulas involving the vertebral artery. Report of 3 cases. Ann. Surg. 163, 3 (1966), 408–413.

    Article  PubMed  CAS  Google Scholar 

  19. Shumacker, H. B., Campbell, R. L., Heimburger, R. F., Operative treatment of vertebral arterio-venous fistulas. J. Trauma. 6, 1 (1966), 1 19.

    Google Scholar 

  20. Sundt, T. M., Whisnant, J. P., Piepgras, D. G., Campell, J. K., Holman, C. B., Intracranial bypass grafts for vertebral basilar ischemia. Mayo Clin. Proc. 53 (1978), 12–18.

    Google Scholar 

  21. Verbiest, H., Extracranial and cervical arterio-venous aneurysms of the carotid and vertebral arteries. Report of a series of 12 personal cases. John Hopkins Med. J. 12 (1968), 350–357.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Laribosière Hospital, Paris, France

    B. George

  2. Department of Vascular Surgery, Foch Hospital, Paris, France

    C. Laurian

Authors
  1. B. George
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C. Laurian
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Clinique Neurochirurgicale, Université Libre de Bruxelles, Rue Héger-Bordet, 1, B-1000, Bruxelles, Belgium

    J. Brihaye

  2. Middlesbrough General Hospital, Ayresome Green Lane, TS5 5AZ, Middlesbrough, Cleveland, UK

    P. R. R. Clarke

  3. Neurochirurgische Universitätsklinik, D-6650, Homburg/Saar, Federal Republic of Germany

    F. Loew

  4. Odense University Hospital, DK-5000, Odense, Denmark

    J. Overgaard M.D.

  5. National Institute of Neurosurgery, Amerikai út 57, H-1145, Budapest, Hungary

    E. Pásztor M.D.

  6. Groupe Hospitalier Pitié-Salpêtrière, Université de Paris VI, Clinique Neuro-Chirurgicale, 83, Boulevard de l’Hôpital, F-75013, Paris, France

    B. Pertuiset

  7. Neurochirurgische Klinik, Johannes Gutenberg-Universität, Langenbeckstrasse 1, D-6500, Mainz, Federal Republic of Germany

    K. Schürmann

  8. Consultant Neurosurgeon, Gough Cooper Department of Neurological Surgery, The National Hospital, Queen Square, WC1N 3BG, London, UK

    L. Symon T.D., F.R.C.S.

Rights and permissions

Reprints and permissions

Copyright information

© 1979 Springer-Verlag Wien

About this paper

Cite this paper

George, B., Laurian, C. (1979). Surgical Possibilities in the Third Portion of the Vertebral Artery (Above C2). In: Brihaye, J., et al. Proceedings of the 6th European Congress of Neurosurgery. Acta Neurochirurgica, vol 28. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4088-8_65

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-4088-8_65

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-4090-1

  • Online ISBN: 978-3-7091-4088-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation