Safe and bloodless exposure of the third segment of the vertebral artery: a step-by-step overview based on over 50 personal cases
Language English Country Germany Media print-electronic
Document type Journal Article
Grant support
15-29021A
Ministerstvo Zdravotnictví Ceské Republiky
LF 2019_003
Palacky University Olomouc
LO1304, LM2015091
Ministerstvo Školství, Mládeže a Tělovýchovy
ENOCH CZ.02.1.01/0.0/0.0/16_019/0000868
European Regional Development Fund
PubMed
31410682
DOI
10.1007/s10143-019-01158-5
PII: 10.1007/s10143-019-01158-5
Knihovny.cz E-resources
- Keywords
- Suboccipital interfascial muscular dissection, Suboccipital triangle, Venous plexus, Vertebral artery,
- MeSH
- Vertebral Artery surgery MeSH
- Dissection methods MeSH
- Humans MeSH
- Neurosurgical Procedures methods MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
Craniovertebral junction surgery usually requires the exposure of the third segment of the vertebral artery (V3). However, the complexity of musculature, a relatively high incidence of anomalies in the course of the vertebral artery (VA), and the presence of a rich venous plexus in this region make the V3 exposure challenging with a high risk of serious complications while taking down the suboccipital muscles in a single layer. A muscle dissection in interfascial layers, however, overcomes the drawbacks inherent in a blind dissection of the V3 as each of the muscles represents substantial landmark aiding subsequent step of the procedure and thus helping identify underlying anatomical structure early and safely. Moreover, along with a bloodless VA dissection off its surrounding venous plexus, it permits a safe and comfortable V3 exposure during the surgically demanding procedures.
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