title: Internal carotid artery stenosis with persistent primitive hypoglossal artery treated with carotid artery stenting: A case report and literature review.
abstract: Persistent primitive hypoglossal artery (PPHA) is a persistent carotid-basilar anastomosis. It rarely remains at birth. It occasionally may be a risk for ischemia and embolic infarction to the posterior cerebral circulation, especially in patients with carotid stenosis proximal to the origin of persistent primitive arteries. We describe a case of a 60-year-old woman with asymptomatic internal carotid artery (ICA) stenosis and ipsilateral PPHA successfully treated by carotid artery stenting (CAS). A few cases of CAS for ICA stenosis with PPHA have been reported, but the strategy and methods in each case were different because of its unique anatomy and hemodynamics. It is essential to prevent distal embolisms and preserve blood flow at the territory of both the ICA and PPHA. The protection method should be selected carefully. We review the literature and discuss appropriate treatment strategies.
authors.affiliation: Department of Neurosurgery, Kanto Neurosurgical Hospital, Japan Department of Neurosurgery, Tokyo Women's Medical University, Japan ryu.bikei@twmu.ac.jp.
authors.forename: Bikei
authors.initials: B
authors.lastname: Ryu
authors.affiliation: Department of Neurosurgery, Tokyo Women's Medical University, Japan.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Ishikawa
authors.affiliation: Department of Neurosurgery, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Hashimoto
authors.affiliation: Department of Neurosurgery, Kanto Neurosurgical Hospital, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Shimizu
authors.affiliation: Department of Neurosurgery, Kanto Neurosurgical Hospital, Japan.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Yagi
authors.affiliation: Department of Neurosurgery, Kanto Neurosurgical Hospital, Japan.
authors.forename: Tsuneo
authors.initials: T
authors.lastname: Shimizu
authors.affiliation: Department of Neurosurgery, Tokyo Women's Medical University, Japan.
authors.forename: Takakazu
authors.initials: T
authors.lastname: Kawamata
mesh_terms: D000800:Angioplasty, Balloon / Q000295:instrumentation / Q000379:methods*; D001163:Arteriovenous Anastomosis / Q000473:pathology / Q000601:surgery; D001488:Basilar Artery / Q000473:pathology / Q000601:surgery; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology*; D016893:Carotid Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D015607:Stents; D054079:Vascular Malformations / Q000150:complications / Q000601:surgery*
keywords: Carotid artery stenosis; carotid artery stenting; cerebral embolism; embolic protection devices; persistent primitive hypoglossal artery
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