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The Vertebral Artery - Pathology and Surgery (Paperback, Softcover reprint of the original 1st ed. 1987)
Loot Price: R1,463
Discovery Miles 14 630
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The Vertebral Artery - Pathology and Surgery (Paperback, Softcover reprint of the original 1st ed. 1987)
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Our common interest in surgery of the vertebral artery was born in
1976, when as residents in the same hospital, we attended an
attempt by two senior surgeons to treat an aneurysm of the
vertebral artery at the C 3 level. Long discussions had preceded
this unsuccessful trial, to decide if surgery was indicated and to
choose the surgical route. Finally a direct lateral approach was
performed, but access was difficult and correct treatment was
impossible, resulting in only partial reduction of the aneurysmal
pouch. Following this experience, we decided to seek a regular and
well defined approach for exposition of the vertebral artery.
Review of the literature indicated some surgical attempts, but the
descriptions did not give the impression of safety and
reproducibility. No landmark on the described surgical route
appeared sufficiently reliable. Henry's anatomical work (1917) gave
the only accurate description on vertebral artery anatomy, and it
became the basis for our work. When the same patient was referred
again one year later, after a new stroke in the vertebro-basilar
system, we had behind us repetitive experience on cadavers of an
original approach to the distal vertebral artery.
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