Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Neurointerv Surg. 2014 Apr 1;6(3):e23. doi: 10.1136/neurintsurg-2013-010709.rep. Epub 2013 May 9.

Double embolic protection during carotid artery stenting with persistent hypoglossal artery.

Author information

  • 1Department of Radiology, Division Neuroimaging and Intervention, New England Center for Stroke Research, Worcester, Massachusetts, USA.

Abstract

A woman presented with 75% stenosis of the right internal carotid artery (ICA) with extension to the origin of a persistent hypoglossal artery (PHA). The PHA is a rare fetal variant of carotid-basilar anastomosis that elevates the risk of ischemia and embolic infarction within the posterior cerebral circulation in patients with carotid disease proximal to the anastomosis. Our case is highly unique because of the extremely rare nature of the PHA with associated ICA stenosis that extended to the PHA. Additionally, a novel treatment approach was employed by stenting and angioplasty while protecting both the anterior and posterior cerebral circulations.

KEYWORDS:

Atherosclerosis; Embolic; Intervention; Stent

PMID:
23661691
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Write to the Help Desk