Fifteen (23%) transverse process fractures were associated with
vertebral artery injury.
Anterior inferior cerebellor artery, posterior inferior cerebellor artery,
vertebral artery commonly compress the facial nerve.
"In humans, the
vertebral artery really hugs the hollow cavities in the neck.
Artery (mean diameter [+ or -] SD mm) VA PICA AICA Right 2.95 [+ or -] 0.47 1.67 [+ or -] 0.45 1.24 [+ or -] 0.38 Left 3.23 [+ or -] 0.57 1.64 [+ or -] 0.37 1.28 [+ or -] 0.42 Total 3.08 [+ or -] 0.53 1.66 [+ or -] 0.53 1.26 [+ or -] 0.43 Artery (mean diameter [+ or -] SD mm) SCA PCA Right 1.59 [+ or -] 0.39 2.56 [+ or -] 0.43 Left 1.52 [+ or -] 0.31 2.43 [+ or -] 0.34 Total 1.56 [+ or -] 0.44 2.52 [+ or -] 0.36 VA:
vertebral artery, PICA: posterior inferior cerebellar artery, AICA: anterior inferior cerebellar artery, SCA: superior cerebellar artery, and PCA: posterior cerebral artery.
Prior to surgery, all patients underwent an ultrasonic baseline carotid and
vertebral artery study, in order to determine the percentage contribution of ICA to total CBF.
The new guidelines, issued jointly by the American Heart Association, American Stroke Association, American College of Cardiology, and other expert groups, "are intended to assist the diverse array of clinicians who provide care for patients with ECVD [extracranial carotid and
vertebral artery disease]" and include a comprehensive review of the most recent literature.
The writing committee recommended that patients with stenosis of the carotid artery or
vertebral artery should receive optimal medical therapy, including antiplatelet drugs, statins, and risk factor modification.
Other areas covered include genetic disease and DNA diagnosis, autopsy protocol for examination of the V3-V4 segments of the
vertebral artery, and the Introna-Corrado method.
Mr Jones ruptured his
vertebral artery and his life support machine was switched off the following day.
Vertebral artery surgery with cardiopulmonary bypass and deep hypothermia.
Injury to the
vertebral artery remains underreported and undiagnosed.