title: Coiling occlusion of the vertebral artery for a patient with recurrent posterior circulation TIAs.
abstract: Recurrent posterior circulation infarcts frequently involve multiple vascular territories, suggesting an embolic source. We describe a patient with left vertebral artery occlusion who had recurrent transient ischaemic attacks due to cerebral embolization originating from the occluded vertebral artery in spite of optimal anticoagulant and antithrombotic treatment. This was successfully managed by coiling occlusion of the vertebral artery with no recurrence of symptoms over one year of follow-up. To our knowledge, this is the first report of coiling occlusion in the treatment of recurrent vertebral artery embolization.
authors.affiliation: Department of Stroke Medicine, University Hospital of North Staffordshire, Stoke-on-Trent, Stafford, UK. jayanchembala@doctors.org.uk
authors.forename: J
authors.initials: J
authors.lastname: Chembala
authors.forename: C
authors.initials: C
authors.lastname: Jadun
authors.forename: I
authors.initials: I
authors.lastname: Natarajan
authors.forename: C
authors.initials: C
authors.lastname: Roffe
mesh_terms: D001157:Arterial Occlusive Diseases; D017023:Coronary Angiography; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000473:pathology*