Abstract: Objective   To summarize the clinical efficacy of endovascular treatment for vertebral dissecting aneurysms and explore the treatment strategies for different aneurysms.Methods  The clinical data and treatment effect of 10 patients with vertebral dissecting aneurysms were retrospectively analyzed.  Results    The 10 patients were vertebral dissecting aneurysms，including 9 cases with hemorrhage and 1 case without rupture.All aneurysms were successfully treated by endovascular method：6 cases were treated by single stentassisted coiling embolization in vertebral artery，3 cases were treated by double stentassisted coiling embolization in Vertebral artery and posterior inferior cerebellar artery，and 1 case was treated with covered stent implantation.Postoperatively 1 patient died due to delayed cerebral hemorrhage and subdural hematoma，Cerebral infarction occurred in 1 patient.  Conclusion    Satisfactory therapeutic effect can be achieved by fully analyzing the imaging characteristics of each aneurysm and adopting individualized endovascular treatment. 

Key words: vertebral artery,  , dissecting aneurysm,  ,  , endovascular treatment,  ,  , stent