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Strategy of cerebral endovascular treatment for cervical internal carotid artery stenosis with a persistent primitive hypoglossal artery
BACKGROUND: Persistent primitive hypoglossal artery (PPHA) is a rare residual arterial anastomosis. We placed a CASPER stent using Spider FX as an embolic protection device (EPD) in a patient with internal carotid artery (ICA) stenosis and PPHA. There are no reports of carotid artery stenting (CAS)...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559564/ https://www.ncbi.nlm.nih.gov/pubmed/37810314 http://dx.doi.org/10.25259/SNI_567_2023 |
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author | Yoshida, Shinichiro Kamatani, Kaisei Takigawa, Kousuke Tashiro, Noriaki Hashiguchi, Yoshiya Yasaka, Masahiro Aikawa, Hiroshi Go, Yoshinori Kazekawa, Kiyoshi |
author_facet | Yoshida, Shinichiro Kamatani, Kaisei Takigawa, Kousuke Tashiro, Noriaki Hashiguchi, Yoshiya Yasaka, Masahiro Aikawa, Hiroshi Go, Yoshinori Kazekawa, Kiyoshi |
author_sort | Yoshida, Shinichiro |
collection | PubMed |
description | BACKGROUND: Persistent primitive hypoglossal artery (PPHA) is a rare residual arterial anastomosis. We placed a CASPER stent using Spider FX as an embolic protection device (EPD) in a patient with internal carotid artery (ICA) stenosis and PPHA. There are no reports of carotid artery stenting (CAS) using a CASPER stent for ICA stenosis with PPHA. We report the EPD strategy used in this case and the usefulness and precautions of CASPER stent insertion for cervical ICA stenosis in association with PPHA. METHODS: A 9Fr sheath was placed in the right femoral artery and a 9Fr Branchor balloon guide catheter was guided to the common carotid artery. A Spider FX was placed proximal to the bifurcation of the ICA and the PPHA. A 10 mm × 20 mm CASPER stent was deployed at the site of the stricture with no postoperative ischemic complications. RESULTS: There was no intra-stent occlusion, stenosis, or plaque protrusion immediately after surgery, and no postoperative ischemic complications were observed. CONCLUSION: CASPER stent deployment with the Spider FX in the ICA and PPHA bifurcation can be considered to be an effective treatment method for ICA stenosis associated with PPHA. However, care should be taken in selecting the appropriate EPDs and stents depending on the location of the stenosis and bifurcation of the PPHA. |
format | Online Article Text |
id | pubmed-10559564 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-105595642023-10-08 Strategy of cerebral endovascular treatment for cervical internal carotid artery stenosis with a persistent primitive hypoglossal artery Yoshida, Shinichiro Kamatani, Kaisei Takigawa, Kousuke Tashiro, Noriaki Hashiguchi, Yoshiya Yasaka, Masahiro Aikawa, Hiroshi Go, Yoshinori Kazekawa, Kiyoshi Surg Neurol Int Technical Notes BACKGROUND: Persistent primitive hypoglossal artery (PPHA) is a rare residual arterial anastomosis. We placed a CASPER stent using Spider FX as an embolic protection device (EPD) in a patient with internal carotid artery (ICA) stenosis and PPHA. There are no reports of carotid artery stenting (CAS) using a CASPER stent for ICA stenosis with PPHA. We report the EPD strategy used in this case and the usefulness and precautions of CASPER stent insertion for cervical ICA stenosis in association with PPHA. METHODS: A 9Fr sheath was placed in the right femoral artery and a 9Fr Branchor balloon guide catheter was guided to the common carotid artery. A Spider FX was placed proximal to the bifurcation of the ICA and the PPHA. A 10 mm × 20 mm CASPER stent was deployed at the site of the stricture with no postoperative ischemic complications. RESULTS: There was no intra-stent occlusion, stenosis, or plaque protrusion immediately after surgery, and no postoperative ischemic complications were observed. CONCLUSION: CASPER stent deployment with the Spider FX in the ICA and PPHA bifurcation can be considered to be an effective treatment method for ICA stenosis associated with PPHA. However, care should be taken in selecting the appropriate EPDs and stents depending on the location of the stenosis and bifurcation of the PPHA. Scientific Scholar 2023-09-01 /pmc/articles/PMC10559564/ /pubmed/37810314 http://dx.doi.org/10.25259/SNI_567_2023 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Technical Notes Yoshida, Shinichiro Kamatani, Kaisei Takigawa, Kousuke Tashiro, Noriaki Hashiguchi, Yoshiya Yasaka, Masahiro Aikawa, Hiroshi Go, Yoshinori Kazekawa, Kiyoshi Strategy of cerebral endovascular treatment for cervical internal carotid artery stenosis with a persistent primitive hypoglossal artery |
title | Strategy of cerebral endovascular treatment for cervical internal carotid artery stenosis with a persistent primitive hypoglossal artery |
title_full | Strategy of cerebral endovascular treatment for cervical internal carotid artery stenosis with a persistent primitive hypoglossal artery |
title_fullStr | Strategy of cerebral endovascular treatment for cervical internal carotid artery stenosis with a persistent primitive hypoglossal artery |
title_full_unstemmed | Strategy of cerebral endovascular treatment for cervical internal carotid artery stenosis with a persistent primitive hypoglossal artery |
title_short | Strategy of cerebral endovascular treatment for cervical internal carotid artery stenosis with a persistent primitive hypoglossal artery |
title_sort | strategy of cerebral endovascular treatment for cervical internal carotid artery stenosis with a persistent primitive hypoglossal artery |
topic | Technical Notes |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559564/ https://www.ncbi.nlm.nih.gov/pubmed/37810314 http://dx.doi.org/10.25259/SNI_567_2023 |
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