We report a case of a 64-year-old man with a fusiform right extracranial vertebral artery aneurysm, spanning over half the extra-cranial V2 (foraminal) segment, presenting with recurrent multi-focal posterior circulation embolic ischaemic stroke. The patient was treated with endovascular embolisation of the right vertebral artery to prevent further thrombo-embolic events. Distal and proximal occlusion of the aneurysmal vertebral artery was performed with a micro-vascular plug with partial aneurysm sack embolisation to aid thrombosis and reduce the risk of recanalisation. Two months post procedure MR angiography confirmed successful aneurysm occlusion with no post-procedural complication. The patient returned to his normal independent life. Endovascular treatment with vessel sacrifice is an effective treatment with low morbidity and we believe the MVP device to be a efficacious option in the vertebral artery.

我们报告了一例 64 岁男性，患有梭形右侧颅外椎动脉瘤，跨越颅外 V2（椎间孔）段的一半以上，表现为复发性多灶性后循环栓塞性缺血性卒中。患者接受了右椎动脉血管内栓塞治疗，以防止进一步的血栓栓塞事件。动脉瘤椎动脉的远端和近端闭塞采用微血管塞进行部分动脉瘤袋栓塞，以帮助血栓形成并降低再通的风险。术后两个月的 MR 血管造影证实动脉瘤成功闭塞，没有术后并发症。患者恢复了正常的独立生活。