{
  "abstract": "Introduction Vertebrobasilar artery occlusion (VBAO) is a life-threatening condition with often nonspecific symptoms, making early diagnosis challenging. Timely intervention is crucial, especially in cases involving distal vertebral artery stenosis.Abstract C50 Figure 1Case Description A 65-year-old male presented with acute vertigo, dizziness, and visual disturbances, along with ipsilateral sixth cranial nerve palsy. His medical history included a treated abdominal aortic aneurysm, hypercholesterolemia, and hypertension.CT angiography (CTA) revealed an occlusion in the V4 segment of the right vertebral artery. CT perfusion imaging showed minimal perfusion delay in the right brainstem. The patient received intravenous thrombolysis (IVT) with Tenecteplase, followed by mechanical thrombectomy (MT), achieving partial recanalization. However, digital subtraction angiography (DSA) identified a critical stenosis (>90%) responsible for the occlusion, consistent with arteriosclerotic disease. Following intravenous administration of 500 mg acetylsalicylic acid, a Biotronik Orsiro 2,25x9 mm- Drug-Eluting Stent was placed, achieving complete recanalization (eTICI 3). Neurologic symptoms resolved completely postintervention, and the patient received 300 mg clopidogrel. He was discharged with an MRS score of 0 within three days. Abstract C50 Figure 2Conclusions This case highlights the effectiveness of a multimodal approach (IVT, MT, and stenting) in treating distal vertebral artery occlusion (Mori Type C). Early diagnosis and timely endovascular intervention led to rapid symptom resolution and complete neurological recovery. Follow-up ultrasound at four months confirmed good bilateral vertebral artery perfusion without restenosis, supporting the potential long-term benefits of this approach. This case underscores the importance of advanced imaging for early detection and the role of thrombectomy and stenting in optimizing patient outcomes.Conflict of Interest No",
  "authors": [
    {
      "affiliations": [
        "Jung Stilling Krankenhaus, Siegen, Germany"
      ],
      "name": "Gregor Richter"
    },
    {
      "affiliations": [
        "Jung Stilling Krankenhaus, Siegen, Germany"
      ],
      "name": "Ali Hammed"
    },
    {
      "affiliations": [
        "Jung Stilling Krankenhaus, Siegen, Germany"
      ],
      "name": "Omar Ismail"
    },
    {
      "affiliations": [
        "Homs University -Faculty of Medicine, Homs, Syria, Arab Rep"
      ],
      "name": "Dina Rishan"
    },
    {
      "affiliations": [
        "Jung Stilling Krankenhaus, Siegen, Germany"
      ],
      "name": "Christian Tanislav"
    }
  ],
  "title": "C50 Early diagnosis and rapid thrombectomy with stent placement in distal vertebral artery stenosis (mori type c) with mild symptoms",
  "uid": "ed440856-c41e-5f71-a227-a94648d89f11"
}