Vertebrobasilar insufficiency. Part 2: Microsurgical treatment of intracranial vertebrobasilar disease

Academic Article


  • Posterior circulation transient ischemic attacks have an associated risk of subsequent infarction of approximately 5% per year. Intracranial vertebrobasilar thrombo-occlusive lesions appear particularly likely to result in repetitive ischemic symptoms and in infarction due to hemodynamic insufficiency. The authors present their experience with 45 patients with symptomatic intracranial vertebrobasilar vascular disease despite maximal medical therapy. The specific operative approaches for intracranial vertebral artery endarterectomy and extracranial to intracranial posterior circulation revascularization procedures are outlined.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Author List

  • Hopkins LN; Martin NA; Hadley MN; Spetzler RF; Budny J; Carter LP
  • Start Page

  • 662
  • End Page

  • 674
  • Volume

  • 66
  • Issue

  • 5