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On imaging, he was found to have external anatomical vertebral artery muscular and\/or osseous compression leading to repetitive vascular injury and strokes. Recurrent intimal injury and vertebral artery to intracranial emboli despite anticoagulation and subsequent dual antiplatelet therapy necessitated definitive operative management. Surgical bypass, external surgical decompression, reconstructive endovascular, and deconstructive endovascular techniques were carefully considered. A deconstructive endovascular approach was chosen as the least morbid option. The use of endovascular plugs such as a microvascular plug provides a quick and effective means of achieving a therapeutic parent artery occlusion in lieu of traditional coil occlusion. Although reserved as a last resort, parent artery occlusion can be a viable option to treat recurrent strokes, particularly in a nondominant vertebral artery.<\/jats:p>","DOI":"10.1177\/1591019917747879","type":"journal-article","created":{"date-parts":[[2017,12,14]],"date-time":"2017-12-14T10:48:46Z","timestamp":1513248526000},"page":"178-182","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Recurrent posterior circulation infarcts secondary to vertebral artery external compression treated with endovascular deconstruction"],"prefix":"10.1177","volume":"24","author":[{"given":"Aldo Fabrizio","family":"Berti","sequence":"first","affiliation":[{"name":"Department of Neurology, University of New Mexico, Albuquerque, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atif","family":"Zafar","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of New Mexico, Albuquerque, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0532-8991","authenticated-orcid":false,"given":"Asad","family":"Ikram","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of New Mexico, Albuquerque, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher S","family":"Calder","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of New Mexico, Albuquerque, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle Eckart","family":"Sorte","sequence":"additional","affiliation":[{"name":"Departments of Radiology and Neurosurgery, University of New Mexico, Albuquerque, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,12,14]]},"reference":[{"key":"bibr1-1591019917747879","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2015.05.033"},{"key":"bibr2-1591019917747879","first-page":"7","volume":"8","author":"Rastogi V","year":"2015","journal-title":"J Vasc Interv Neurol"},{"key":"bibr3-1591019917747879","doi-asserted-by":"publisher","DOI":"10.1080\/0268869031000108927"},{"key":"bibr4-1591019917747879","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61786-9"},{"key":"bibr5-1591019917747879","unstructured":"Pauliukas P. 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