PATHOLOGY OF VERTEBRAL ARTERIES AND ITS CORRECTION

  • V.V. Zelenin City Mariinsky Hospital. Liteyny Ave., 56, Saint Petersburg, Russian Federation, 191014
  • O.I. Kudryavtsev City Mariinsky Hospital. Liteyny Ave., 56, Saint Petersburg, Russian Federation, 191014
  • D.S. Shcheglov City Mariinsky Hospital. Liteyny Ave., 56, Saint Petersburg, Russian Federation, 191014
  • U.Sh. Erzikhanova City Mariinsky Hospital. Liteyny Ave., 56, Saint Petersburg, Russian Federation, 191014
  • I.P. Dudanov City Mariinsky Hospital. Liteyny Ave., 56, Saint Petersburg, Russian Federation, 191014 https://orcid.org/0000-0002-0629-6581
Keywords: vertebral artery, types of pathology, methods of diagnostics of vertebrobasilary insufficiency, methods of patency restoration

Abstract

Based on the observation data of patients with signs and symptoms of ischemia in the vertebrobasilar basin (VBB), the causes of insufficiency in this area were determined. The main mechanism is embolism, which accounts for about 40% of cases, while the source of embolism is the heart (usually parietal thrombi), aorta (atheroma) or blood clots and plaque elements of the main vessel (subclavian or vertebral artery). In this article, the main attention will be paid to interventional interventions in patients with proximal PA lesion in the extracranial segment. Treatment of pathology of intracranial segments of arteries belongs to the field of neurovascular surgery. This publication focuses on the main types of pathology of the vertebral artery, leading to the formation of vertebrobasilar insufficiency, as well as methods of their diagnosis, indications for treatment, methods of technical restoration of patency of vertebral arteries.

References

Сaplan L. Posterior circulation ischemia: then, now, and tomorrow. The Thomas Willis Lecture-2000. Stroke. 2000; 31: 2011-2023.

Koenigsberg RA, Pereira L, Nair B, et al. Unusual vertebral artery origins: examples and related pathology. Catheter Cardiovasc Interv. 2003; 59:244-250.

Mukherjee D, Pineda G. Extracranial vertebral artery intervention. Interv Cardiol. 2007; 20: 409-416.

Caplan LR. Vertebrobasilar disease. Adv Neurol. 2003; 92:131-140.

Rocha-Singh K. Vertebral artery stenting: ready for prime time? Catheter Cardiovasc Interv. 2001; 54:6-7.

Phatouros CC, Higashida RT, Malek AM, et al. Endovascular treatment of noncarotid extracranial cerebrovascular disease. Neurosurg Clin NAm. 2000; 11:331-350.

Chastain HD, Campbell MS, Iyer S, et al. Extracranial vertebral artery stent placement: in-hospital and follow- up results. J.Neurosurg. 1999; 91:547-552.

Jain S, Ramee S, White C. Treatment of atherosclero­tic vertebral artery disease by endoluminal stenting: results from a multicenter registry. Am Coll Cardiol. 2000; 35:86A.

Mukherjee D, Roffi M, Kapadia SR, et al. Percutaneous intervention for symptomatic vertebral artery stenosis using coronary stents. Invasive Cardiol. 2001; 13:363-366.

Piotin M, Spelle L, Martin JB, et al. Percutaneous transluminal angioplasty and stenting of the proximal vertebral artery for symptomatic stenosis. Am J Neuroradiol. 2000; 21:727—731.

Qureshi Al, Kirmani JF, Harris-Lane P, et al. Vertebral artery origin stent placement with distal protection: technical and clinical results. Am J Neuroradiol. 2006; 27:1140–1145.

Mukherjee D, Lingam P, Chetcuti S, et al. Missed opportunities to treat atherosclerosis in patients undergoing peripheral vascular interventions: insights from the University of Michigan Peripheral Vascular Disease Quality Improvement Initiative (PVD- QI2). Circulation. 2002; 106:1909-1912.

Higashida RT, Tsai FY, Halbach VV, et al. Transluminal angio­plasty for atherosclerotic disease of the vertebral and basilar arteries. Neurosurg. 1993; 78:192—198.

Crawley F, Brown MM, Clifton AG. Angioplasty and stenting in the carotid and vertebral arteries. Postgrad Med J. 1998; 74:7—10.

Coward LJ, McCabe DJ, Ederle J, et al. Long-term outcome after angioplasty and stenting for symptomatic vertebral artery stenosis compared with medical treatment in the Carotid аnd Vertebral Artery Transluminal Angioplasty Study (CAVATAS): a randomized trial. Stroke. 2007; 38:1526-1530.

Jenkins JS, White CJ, Ramee SR, et al. Vertebral insuffi­ciency: when to intervene and how? Curr Interv Cardiol Rep. 2000; 2:91-94.

Malek AM, Higashida RT, Phatouros CC, et al. Treatment of posterior circulation ischemia with extracranial percutaneous balloon angioplasty and stent placement. Stroke. 1999; 30:2073-2085.

Jenkins JS, White CJ, Ramee SR, et al. Vertebral artery stenting. Catheter Cardiovasc Interv. 2001; 54:1-5.

Levy El, Hanel RA, Bendok BR, et al. Staged stent-assis­ted an­gioplasty for symptomatic intracranial vertebrobasilar artery stenosis. Neurosurg. 2002; 97:1294–1301.

Cloud GC, Crawley F, Clifton A, et al. Vertebral artery origin angioplasty and primary stenting: safety and restenosis rates in a prospective series. J Neurol Neurosurg Psychiatry. 2003;74: 586-590.

Lin YH, Hung CS, Tseng WY, et al. Safety and feasibi­lity of drug-eluting stent implantation at vertebral artery origin: the first case series in Asians. J Formos Med Assoc. 2008; 107:253-258.

Published
2024-07-15
How to Cite
Zelenin, V., Kudryavtsev, O., Shcheglov, D., Erzikhanova, U., & Dudanov, I. (2024). PATHOLOGY OF VERTEBRAL ARTERIES AND ITS CORRECTION. Medicine: Theory and Practice, 8(спецвыпуск), 88-96. https://doi.org/10.56871/MTP.2023.51.87.038
Section
Статьи

Most read articles by the same author(s)