©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2023; 11(24): 5762-5771
Published online Aug 26, 2023. doi: 10.12998/wjcc.v11.i24.5762
Published online Aug 26, 2023. doi: 10.12998/wjcc.v11.i24.5762
Subintimal recanalization for non-acute occlusion of intracranial vertebral artery in an emergency endovascular procedure: A case report
Jun-Feng Fu, Xiang-Ling Zhang, Shun-Yin Lee, The Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou 510000, Guangdong Province, China
Fo-Ming Zhang, Jin-Song You, Department of Neurosurgery, The Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510000, Guangdong Province, China
Author contributions: Fu JF performed the manuscript writing; Zhang XL edited the figure of the article; Lee SY acquired the data; You JS and Zhang FM contributed to conceptualization and supervision; All authors contributed to the article and approved the submitted version.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Jin-Song You, PhD, MD, Department of Cerebrovascular Disease, The Second Affiliated Hospital, Guangzhou University of Chinese Medicine, No. 111 Dade Road, Guangzhou 510120, Guangdong Province, China. youjs73@163.com
Received: May 11, 2023
Peer-review started: May 11, 2023
First decision: July 7, 2023
Revised: July 17, 2023
Accepted: July 31, 2023
Article in press: July 31, 2023
Published online: August 26, 2023
Processing time: 105 Days and 16.2 Hours
Peer-review started: May 11, 2023
First decision: July 7, 2023
Revised: July 17, 2023
Accepted: July 31, 2023
Article in press: July 31, 2023
Published online: August 26, 2023
Processing time: 105 Days and 16.2 Hours
Core Tip
Core Tip: Technical challenges arise during endovascular recanalization of non-acute intracranial artery occlusions, particularly when the microwire enters the subintima. To our knowledge, this article details the first successful case of subintimal recanalization for non-acute intracranial vertebral artery occlusion in a patient with progressive ischemic stroke. However, we emphasize the necessity for caution when applying the subintimal tracking approach in intracranial occlusion due to the significant dangers involved.