• Selected patients with vertebral basilar insufficiency may obtain symptomatic relief after carotid endarterectomy. The usual surgical approach is that of initially performing carotid endarterectomy, if appropriate, followed at a second operation by extrathoracic vertebral reconstruction. This surgical approach is based in part on the need for different surgical incisions to reconstruct the cervical carotid and vertebral arteries. We describe a new surgical approach that utilizes a single cervical incision for combined carotid-vertebral reconstruction.
(Arch Surg 115:783-785, 1980)
Malone JM, Moore WS, Hamilton R, Smith M. Combined Carotid-Vertebral Vascular DiseaseA New Surgical Approach. Arch Surg. 1980;115(6):783–785. doi:10.1001/archsurg.1980.01380060081024