<h1>Vertebral artery stenting prevented a major posterior circulation stroke through minimally invasive endovascular intervention at a regional centre</h1> Vertebral artery stenosis rapidly progressed to near-occlusion despite optimal medical therapy, prompting multidisciplinary recommendation and performance of endovascular vertebral artery angioplasty and stenting; the procedure restored posterior circulation flow without open surgery and the patient recovered without neurological deficit. The account emphasises that such interventions are technically demanding, require specialist expertise, specialised endovascular capability, and ICU monitoring, and that regional referral centres offering advanced minimally invasive neurovascular care can address high-risk posterior circulation stroke prevention while reducing hospitalisation and surgical morbidity.