Article
Double embolic protection during carotid artery stenting with persistent hypoglossal artery.
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
Disciplines
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.
Clinical Institute
Neurosciences (Brain & Spine)
Specialty
Neurosciences
Citation Information
Christine F Silva, Samuel Y Hou, Anna L Kühn, Richard H Whitten, et al.. "Double embolic protection during carotid artery stenting with persistent hypoglossal artery." BMJ Case Rep (2013) Available at: http://works.bepress.com/samuel-hou/29/
Samuel Hou is affiliated with Providence St. Joseph Health.