Retrograde endovascular recanalization via the ascending cervical artery for non-conical stump vertebral artery occlusion: a case report - Takeaways - MDSpire

Retrograde endovascular recanalization via the ascending cervical artery for non-conical stump vertebral artery occlusion: a case report

  • By

  • Gan, Qingyue

  • Xu, Gelin

  • Cao, Liming

  • Fu, Pengcheng

  • March 2, 2026

  • 0 min

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  • 1

    Vertebral artery occlusion (VAO) is a significant cause of posterior circulation ischemic stroke, often due to atherosclerosis.

  • 2

    Endovascular recanalization has shown an 83.7% success rate for symptomatic intracranial VAO, with complications occurring in 10.9% of cases.

  • 3

    Technical success in endovascular recanalization is influenced by the morphology of the VAO stump, with non-tapered stumps presenting greater challenges.

  • 4

    A case study demonstrated successful recanalization of a non-tapered-stump VA using a retrograde approach through the ascending cervical artery.

  • 5

    The patient in the case study experienced resolution of ischemic symptoms following the endovascular procedure, highlighting its efficacy.

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