作者介绍一种新的后颅凹血管重建术,即利用移植的挠动脉作椎动脉与小脑后下动脉搭桥术以解决枕动脉与小脑后下动脉吻合所存在的问题。作者通过个案报告详细介绍手术操作方法。这是应用移植桡动脉作椎动脉和后颅凹血管吻合术,以治疗椎动脉系统多发性血管阻塞的第一例报告, The authors describe a new posterior cranial recession revascularization that uses the transplanted tortuous artery as a vertebral artery and posterior inferior cerebellar artery bypass to address the problems associated with anastomosis of the occipital artery to the posterior inferior cerebellar artery. The author describes the surgical procedure in detail through case reports. This is the application of transplanted radial artery for vertebral artery and posterior cranial anastomosis to treat multiple vertebral artery system vascular occlusion of the first case report,