Hybrid Recanalization for Symptomatic Long-Segmental Occlusion Post Vertebral Artery Stenting

World Neurosurg. 2018 Feb:110:349-353. doi: 10.1016/j.wneu.2017.11.081. Epub 2017 Nov 23.

Abstract

Background: A hybrid operation combining endovascular and open surgery procedures is supposed to achieve recanalization for post-stenting long-segmental occlusion of the vertebral artery (VA) ostium simultaneously.

Case description: One patient with post-stenting long-segmental occlusion in VA ostium was reported. His symptoms could not be relieved by medical therapy. Recanalization combining endovascular and open surgery procedures simultaneously was performed. The hybrid recanalization was successful, and the patient demonstrated no symptoms attacked during the follow-up.

Conclusions: Hybrid operation is a potential and feasible method to recanalize the long-segmental occlusion in the VA ostium post-stenting treatment.

Keywords: Arterial occlusive diseases; Hybrid technique; Recanalization; Vertebral artery.

Publication types

  • Case Reports

MeSH terms

  • Angiography, Digital Subtraction
  • Arterial Occlusive Diseases / diagnostic imaging
  • Arterial Occlusive Diseases / surgery*
  • Endarterectomy, Carotid / methods*
  • Endovascular Procedures / methods*
  • Humans
  • Male
  • Middle Aged
  • Stents*
  • Treatment Outcome