Stenting for Internal Carotid Artery Stenosis Associated with Persistent Primitive Hypoglossal Artery Using Proximal Flow Blockade and Distal Protection System: A Technical Case Report and Literature Review

Murai, Satoshi; Umakoshi, Michiari; Itami, Hisakazu; Otsuka, Shinji; Nishiura, Tsukasa; Ogihara, Kotaro

doi:10.1016/j.jstrokecerebrovasdis.2016.03.026

Cited by 13 publications

(10 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this review, the data on the use of embolic protection methods show that distal balloon protection was used in three cases, 21 , 27 , 28 in one of them combined with proximal occlusion, 28 distal filter in four cases, 23 , 25 , 26 , 29 in one of them combined with proximal occlusion, 26 flow reversal system in two cases, 22 , 24 while Zhang et al. 30 reported the use of a MOMA device.…”

Section: Discussionmentioning

confidence: 96%

“…Since the first published case of CAS in the presence of PPHA in 2008, 21 nine more cases have been reported in the literature. 22–30 All cases but two were treated for symptomatic stenosis. Although the need for cerebral protection during CAS is well established, the choice between proximal occlusion devices, flow-reversal or distal filters is still debated and usually based on anatomic criteria, plaque characteristics and local expertise.…”

Section: Discussionmentioning

confidence: 99%

“…30 reported the use of a MOMA device. Most of the authors employed a wallstent, 22 , 25–28 , 30 in two cases a PRECISE Nitinol stent was placed, 21 , 29 a Protégé stent in one case, 23 while the type of stent used in the remaining case is not reported. 24…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Symptomatic internal carotid artery stenosis in the presence of a persistent primary hypoglossal artery

et al. 2020

View full text Add to dashboard Cite

Objectives Anatomic variations of the extracranial carotid artery are rare. Persistent primitive hypoglossal artery appears with a reported incidence between 0.03% and 0.2%. We report a case of recurrent transient ischemic attacks originating from proximal internal carotid artery stenosis associated with ipsilateral persistent primitive hypoglossal artery and give a review of the existing literature. Methods A 78-year-old patient with a medical history of two previous transient ischemic attacks consulted our emergency department with an acute left hemispheric stroke. Intravenous thrombolysis permitted complete resolution of symptoms. Concurrent Computed Tomography (CT) and Magnetic Resonance (MR) angiography revealed an unstable plaque causing 50% stenosis of the left internal carotid artery with a persistent primitive hypoglossal artery dominantly perfusing the posterior circulation, and bilateral hypoplastic vertebral arteries. Results Uneventful carotid artery stenting using a proximal protection device was performed, and the patient was discharged after 12 days. Six months follow-up was uneventful with a patent stent in the internal carotid artery. Conclusions Treatment of symptomatic carotid artery stenosis in the presence of persistent primitive hypoglossal artery is challenging. Management should be driven by patients’ co-morbidities, the anatomical localization of the lesions and local expertise. In the case of a high origin of the persistent primary hypoglossal artery, carotid artery stenting with the use of a proximal cerebral protection device is probably the preferred and simplest approach.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Symptomatic internal carotid artery stenosis in the presence of a persistent primary hypoglossal artery

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Although limited data exist for CAS involving a PPHA, it has been used as a successful interventional option and may be favored in high lesions or in patients with limitations in adequate positioning. 1,8,9 The decision to perform CEA over CAS was ultimately reached after extensive review of imaging and deliberation with our neurointerventional colleagues. Risk of plaque shift and potential to jail the ipsilateral ICA during CAS was believed to be exceedingly high.…”

Section: Discussionmentioning

confidence: 99%

Critical carotid artery stenosis involving a persistent primitive hypoglossal artery

Pride

Lagergren

Hafner

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

Persistent primitive hypoglossal artery (PPHA) is a rare internal carotid-vertebrobasilar anatomic variant. Awareness of this anomaly and its propensity for atherosclerotic disease is important to avoid misinterpretation of diagnostic studies and to allow appropriate interventional planning. As the predominant vascular supply to the anterior and posterior cerebral circulation, its luminal compromise can lead to devastating ischemic complications. Carotid endarterectomy and carotid stenting have both been performed to treat lesions involving a PPHA. Herein, we report a case of carotid endarterectomy involving a PPHA and discuss the clinical and surgical implications of a carotid lesion in the presence of a PPHA.

show abstract

“…Fibrovasküler proliferasyonun internal limitan membranın dışına çıktığı DRP sınıflandırması ise proliferatif DRP'dir (7,8). Bu olgu sunumun- (11,12). DM hastalığı olan bireylerde her iki gözün DRP seviyeleri farklı gözlendiğinde mutlaka karotis arter sistemi incelemesi yapılması gerekmektedir.…”

Section: Discussionunclassified

Tek Taraflı Karotis Arter Stenozunda Diabetik Retinopati

Alikma

Unsal

2019

SDÜ Tıp Fakültesi Dergisi

View full text Add to dashboard Cite

Polikliniğimize sağ gözünde az görme şikayeti ile başvuran, anamnezinde dört yıldır tanılı tip 2 diabetes mellitus (DM) olan 59 yaşındaki kadın hasta değerlendirildi. Oftalmolojik muayenede görme keskinliği (GK) Snellen eşeline göre sağ gözde 0,15, sol gözde 0,9, göz içi basıncı her iki gözde 16 mmHg olarak saptandı. Fundus muayenesinde sağ gözde optik disk başından vitre içine uzanan proliferatif fibrovasküler yapı ile birlikte dağınık intraretinal hemorajilerin olduğu izlendi. Sol gözün fundus muayenesinde sadece dağını intraretinal hemorajilerin gözlendi. Her iki gözün fundus fotoğrafı ve fundus flourescein anjiyografisi (FFA) çekildi. Fundus muayenesinde ve FFA'da iki göz arasında diyabetik retinopati (DRP) seviyeleri farklı olduğu için hasta kalp damar cerrahisi ile konsülte edildi. Karotis arter anjiyografisinde sağ internal karotis arterde ileri derecede stenoz saptandı. Bu olgu sunumunda asimetrik tutulumlu DRP'ye eşlik eden karotis arter stenozu olan bir olguyu sunmayı amaçladık.

show abstract

Stenting for Internal Carotid Artery Stenosis Associated with Persistent Primitive Hypoglossal Artery Using Proximal Flow Blockade and Distal Protection System: A Technical Case Report and Literature Review

Cited by 13 publications

References 8 publications

Symptomatic internal carotid artery stenosis in the presence of a persistent primary hypoglossal artery

Symptomatic internal carotid artery stenosis in the presence of a persistent primary hypoglossal artery

Critical carotid artery stenosis involving a persistent primitive hypoglossal artery

Tek Taraflı Karotis Arter Stenozunda Diabetik Retinopati

Contact Info

Product

Resources

About