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Stenting of a symptomatic long-segment extracranial vertebral artery occlusion
  1. Rishi Gupta1,2,
  2. Thinesh Sivapatham1,
  3. Shaye I Moskowitz1,
  4. Sunita Srivastava3
  1. 1Cerebrovascular Center, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
  2. 2Department of Neurology, Vanderbilt University, Nashville, Tennessee, USA
  3. 3Vascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
  1. Correspondence to Rishi Gupta, Department of Neurology, Vanderbilt Stroke Center, A-0118 Medical Center North, Nashville, TN 37232-255, USA; rishi.gupta{at}


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.

  • Artery
  • stenosis
  • stroke

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  • Competing interests Rishi Gupta, MD: Consultant/Scientific Advisory Board Concentric Medical, Consultant/Scientific Advisory Board CoAxia.

  • Patient consent Obtained.

  • Ethics approval This study was conducted with the approval of the Cleveland Clinic IRB.

  • Provenance and peer review Not commissioned; externally peer reviewed.