Brachiocephalic Flashcards

1
Q

What are common brachicephalic anomalies?

A

bovine arch 20%
arotic vert 6%
aberrant RSCA 1%

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2
Q

What are symptoms of vertebrobasilar insufficiency?

A

vertigo
N and V
imbalance
diplopia

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3
Q

What are indications for revascularization?

A

stroke/TIA
low flow states leading to VBI
MI with LIMA bypass
UE pain with exertion

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4
Q

What has better latency transposition or bypass?

A

transposition close to 100%

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5
Q

What has better latency transposition or bypass?

A

transposition close to 100%

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6
Q

What is strategy for V1 surgery?

A

transposition of vert to carotid
bypass with vein
edart

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7
Q

What is strategy for V2 surgery?

A

surgical access difficult
if not endo option then prox/distal ligation

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8
Q

What is strategy for V3 surgery?

A

reconstruction at C1-C2 level
SVG

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