{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:17:27Z","timestamp":1788308247678,"version":"build-2803163510"},"reference-count":17,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"10","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2026,9,7]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Symptomatic extracranial vertebral artery stenosis or occlusion is a common etiology of posterior circulation ischemia and ischemic stroke. Although endovascular therapy represents the first\u2011line treatment for most patients, surgical revascularization remains an indispensable strategy in complex cases in which endovascular approaches are not feasible.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 57-year-old female presented with dizziness and acute pontine infarction. Preoperative CT revealed left extracranial vertebral artery occlusion, focal dissection at the origin of the left subclavian artery, and a stenotic and hypoplastic contralateral vertebral artery. Left vertebral artery\u2013thyrocervical trunk transposition was performed to restore posterior circulation perfusion. Postoperative and 6-month follow-up evaluations showed a patent anastomosis, restored perfusion, significant symptomatic improvement, and no stroke recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Vertebral artery\u2013thyrocervical trunk transposition is safe and effective in appropriately selected patients with complex extracranial vertebral artery occlusion. This procedure serves as a valuable alternative when endovascular treatment or conventional transposition is not feasible or is suboptimal.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE26466\">https:\/\/thejns.org\/doi\/10.3171\/CASE26466<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case26466","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:01:14Z","timestamp":1788307274000},"source":"Crossref","is-referenced-by-count":0,"title":["Vertebral artery\u2013thyrocervical trunk transposition for complex extracranial vertebral artery occlusion with vascular dissection: illustrative case"],"prefix":"10.3171","volume":"12","author":[{"given":"Yucheng","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunyu","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenfeng","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3827-2653","authenticated-orcid":true,"given":"Gang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"bib1","series-title":"Eur J Vasc Endovasc Surg","first-page":"7","article-title":"Editor\u2019s choice\u2014European Society for Vascular Surgery (ESVS) 2023 clinical practice guidelines on the management of atherosclerotic carotid and vertebral artery disease","volume":"65","author":"Naylor","year":"2023","unstructured":"NaylorRRantnerBAncettiSEditor\u2019s choice\u2014European Society for Vascular Surgery (ESVS) 2023 clinical practice guidelines on the management of atherosclerotic carotid and vertebral artery disease. 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Neurochirurgie. 2024;70(3):101516. doi:10.1016\/j.neuchi.2023.101516"},{"key":"bib9","series-title":"Front Neurol","first-page":"1202257","article-title":"Vascular reconstruction related to the extracranial vertebral artery: the presentation of the concept and the basis for the establishment of the bypass system","volume":"14","author":"Wang","year":"2023","unstructured":"Wang XTong X.Vascular reconstruction related to the extracranial vertebral artery: the presentation of the concept and the basis for the establishment of the bypass system. 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