カワマタ　タカカズ   KAWAMATA Takakazu   川俣　貴一    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Internal carotid artery stenosis with persistent primitive hypoglossal artery treated with carotid artery stenting: A case report and literature review.
掲載誌名	正式名：The neuroradiology journal 略　 称：Neuroradiol J ISSNコード：(2385-1996)1971-4009(Linking)
掲載区分	国外
巻・号・頁	29(2),pp.115-121
著者・共著者	Ryu Bikei†*, Ishikawa Tatsuya, Hashimoto Koji, Shimizu Masahiro, Yagi Shinichi, Shimizu Tsuneo, Kawamata Takakazu
担当区分	最終著者
発行年月	2016/04
概要	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