Objective Several endovascular approaches have been reported to treat intracranial vertebral artery (VA) dissecting aneurysms.We reviewed the management of 17 cases in an effort to evaluate treatment efficacy and outcomes.Methods Seventeen patients with intracranial VA dissecting aneurysms presented to our hospital between May 2008 and February 2011.Three were treated by coil occlusion of the artery at the aneurysm.Fourteen were treated by reconstructive endovascular methods: twelve of them treated by stent assisted coiling and two by multiple stents only.Follow up images obtained from 3 months to one year after initial treatment.Results All initial treatments were technically successful and without complication in all 17 patients.Follow up examinations showed complete cure in 15 of 17 patients.Two patients who treated by multiple stents only remained stable in image.The patients remained stable throughout the clinical followup period (mean 14.4 months,range 4-36 months).No rebreeding or infarction was recorded.Conclusions Intracranial VA dissecting aneurysms can be managed safely with endovascular management.Reconstructive endovascular treatments that consist of stent placement only and stent-assisted coil emblization are considered as more reasonable treatment options than destructive procedures.