Statin therapy reduces vertebral artery atherosclerotic plaques: a case report with insight from vessel wall magnetic resonance imaging

This case provides significant imaging-based evidence of VA plaque regression following long-term statin therapy, as demonstrated via serial VW-MRI and angiographic studies. Despite prior assumptions regarding the limited responsiveness of vertebrobasilar circulation to statins, these findings demonstrate the potential utility of intensive lipid-lowering therapy in the management of posterior circulation atherosclerosis. VW-MRI may serve as a valuable tool for monitoring plaque evolution and therapeutic responses in cerebrovascular diseases.