Objective: To evaluate the technical feasibility, safety and treatment effect of endovacular recanalization for the occlused intracranial vertebral artery.Material and methods: Fifteen patients with occlused intracranial vertebral artery were treated under general anesthesia.The operation time and periprecedural complications were recorded.The modified Rankin Scale scores and recanalizated bloodstream TIMI scores for all patients among preoperation, postoperation and following-up were compared.Results: Recanalization was successful in all patients.No complications were recorded and average recanalizaton time is 18.5 minutes.TIMI scores for blood stream distal to occluded artery were elevated from preprecedural 0.64 to postprecedural 2.18 (P < 0.05).Positional vertigo of 9 patients was eliminated to some extent after operation.But there was no statistic variance among the modified Rankin Scale scores for preoperative 2.6, postoperative 2.1 and 3 months following-up 1.6 (P > 0.05).Conlusion: Endovascular recanalization of the occluded intracranal vertebral artery was technically feasible.Clinical and blood stream improvements were observed.Because of potential serious complications, careful screening and operation was needed.Strict indications should be established on more clinical studies.