Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Internal carotid artery stenosis with persistent primitive hypoglossal artery treated with carotid artery stenting: A case report and literature review.
Journal Formal name:The neuroradiology journal
Abbreviation:Neuroradiol J
ISSN code:(2385-1996)1971-4009(Linking)
Domestic / ForeginForegin
Volume, Issue, Page 29(2),pp.115-121
Author and coauthor Ryu Bikei†*, Ishikawa Tatsuya, Hashimoto Koji, Shimizu Masahiro, Yagi Shinichi, Shimizu Tsuneo, Kawamata Takakazu
Authorship 2nd author
Publication date 2016/04
Summary Persistent primitive hypoglossal artery (PPHA) is a persistent carotid-basilar anastomosis. It rarely remains at birth. It occasionally may be a risk for ischemia and embolic infarction to the posterior cerebral circulation, especially in patients with carotid stenosis proximal to the origin of persistent primitive arteries. We describe a case of a 60-year-old woman with asymptomatic internal carotid artery (ICA) stenosis and ipsilateral PPHA successfully treated by carotid artery stenting (CAS). A few cases of CAS for ICA stenosis with PPHA have been reported, but the strategy and methods in each case were different because of its unique anatomy and hemodynamics. It is essential to prevent distal embolisms and preserve blood flow at the territory of both the ICA and PPHA. The protection method should be selected carefully. We review the literature and discuss appropriate treatment strategies.
DOI 10.1177/1971400915626427
PMID 26825135