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.
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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.