Chap 105 Brachiocephalic Disease Flashcards
1
Q
What are common brachicephalic anomalies?
A
bovine arch 20%
arotic vert 6%
aberrant RSCA 1%
2
Q
What are symptoms of vertebrobasilar insufficiency?
A
vertigo
N and V
imbalance
diplopia
3
Q
What are indications for revascularization?
A
stroke/TIA
low flow states leading to VBI
MI with LIMA bypass
UE pain with exertion
4
Q
What has better latency transposition or bypass?
A
transposition close to 100%
5
Q
What has better latency transposition or bypass?
A
transposition close to 100%
6
Q
What is strategy for V1 surgery?
A
transposition of vert to carotid
bypass with vein
edart
7
Q
What is strategy for V2 surgery?
A
surgical access difficult
if not endo option then prox/distal ligation
8
Q
What is strategy for V3 surgery?
A
reconstruction at C1-C2 level
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