Initial diagnostic angiography showed truncation of the left posterior inferior cerebellar artery and occlusion of the distal basilar artery.
The left superior cerebellar artery filled proximally. A 6-French Envoy straight guide catheter was exchanged into the left vertebral artery. A Rebar 18 microcatheter was then positioned in the right posterior cerebral artery over a Synchro standard microwire, and a 4 x 20 Solitaire stent deployed from the P1 segment into the basilar artery. A single pass resulted in TICI2b revascularisation, with no change to the truncated left superior cerebellar and posterior inferior cerebellar arteries.