Is revascularization of V1 Segment of vertebral artery combined with Ipsilateral carotid endarterectomy safe?

The recommendation of the European Society for Vascular Surgery (ESVS) is vertebral revascularization combined with Ipsilateral CEA (carotid endarterectomy)should not be performed in the same operation. ESVS believes that vertebral revascularization combined with Ipsilateral CEA increases perioperative death/stroke rates. In our opinion, revascularization of the first segment of vertebral artery (V1) combined with Ipsilateral CEA is safe compared with vertebral V1 revascularization in the perioperative period.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Clinical Research Source Type: research