title: Stenting of a symptomatic long-segment extracranial vertebral artery occlusion.
abstract: We present a 56-year-old man who presented with bilateral vertebral artery occlusions and recurrent transient ischemic attacks and strokes despite maximal medical therapy. A long-segment extracranial right vertebral occlusion was noted and successfully reconstructed with four drug-eluting stents. The patient has been symptom free for 3 months and does not exhibit restenosis on follow-up angiography. Stenting and angioplasty of a long-segment vertebral artery occlusion is technically feasible in select cases.
authors: Cerebrovascular Center, The Cleveland Clinic Foundation, Cleveland, Ohio, USA. rishi.gupta@vanderbilt.edu
authors: Rishi
authors: R
authors: Gupta
authors: Thinesh
authors: T
authors: Sivapatham
authors: Shaye I
authors: SI
authors: Moskowitz
authors: Sunita
authors: S
authors: Srivastava
mesh_terms: D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D002404:Catheterization / Q000379:methods; D003937:Diagnosis, Differential; D054855:Drug-Eluting Stents; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D002546:Ischemic Attack, Transient / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D011859:Radiography; D020521:Stroke / Q000209:etiology; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000601:surgery
chemical_list: D005343:Fibrinolytic Agents