Vertebro-basilar occlusive disease is a condition that can cause symptomatology related to encephalic posterior circulation ischemia.
Vertebro-basilar (VB) ischemia represents a 25% of all TIA�s and Strokes in North America (1). In a patient with a VB-TIA, if vertebro-basilar (VB) pathology is demonstrated, he or she will have a 30-35% risk of having a VB circulation stroke in the next 5 years (2); demonstrating that vertebro-basilar occlusive disease is a relevant condition regarding mortality, morbidity and health-related costs.
Since Crawford and colleagues described the trans-subclavian vertebral artery endarterectomy by the end of the 50�s, vertebro-basilar occlusive disease has been studied rather little.
We pretend to do a revision of this disease, and to discuss briefly the most up-to-date therapies described in current literature for this condition.
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