Vertebral Stump Syndrome and Recurrent Embolic Stroke in Posterior Circulation: Surgical Treatment of Complex Cases

Vertebral artery stump syndrome refers to the migration of thrombi from an occluded vertebral origin into brain, causing posterior circulation strokes. Treatment has been debated, and no definite treatment established. This retrospective, single-center study included patients who had undergone carotid–vertebral bypass between January 2019 April 2022 identified institutional medical databases. The preoperative risk factors, symptoms, intraoperative details, postoperative outcomes, follow-up data were collected. A total seven included. All occlusion experienced ischemic stroke in suggestive syndrome, due aneurysms two patients, dissection subclavian aneurysm one patient, at V2 level patient. We performed direct revascularization through a (V3) four (Fig) transposition patients. There major perioperative adverse events or neurological complications. Direct is feasible, effective, safe technique for with acute subacute disease centers.