Double embolic protection during carotid artery stenting with persistent hypoglossal artery.
Publication Title
BMJ Case Rep
Document Type
Article
Publication Date
5-2-2013
Keywords
Angioplasty; Basilar Artery; Carotid Artery Diseases; Carotid Artery, Common; Carotid Artery, Internal; Carotid Stenosis; Cerebrovascular Circulation; Embolism; Female; Humans; Middle Aged; Risk Factors; Stents
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.
Area of Special Interest
Neurosciences (Brain & Spine)
Specialty/Research Institute
Neurosciences
Comments
Samuel Hou is affiliated with Providence St. Joseph Health.