How do you proceed when a procedure carries high mortality risk, but the patient also faces severe disability from recurrent strokes?
Kushal Bhatia from Mumbai, India, presents the case of a 53-year-old male with poor collaterals from anterior circulation and inadequate posterior circulation, leading to recurrent crescendo TIAs and strokes despite exhaustive anti-platelet and anti-coagulant therapy. See how endovascular re-canalization of the vertebrobasilar CTO led to a successful outcome.