Concomitant asymptomatic internal carotid artery and persistent primitive hypoglossal artery stenosis treated by endovascular stenting with proximal embolic.

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Presentation transcript:

Concomitant asymptomatic internal carotid artery and persistent primitive hypoglossal artery stenosis treated by endovascular stenting with proximal embolic protection Li Zhang, BMed, Gang Song, MD, Lifeng Chen, BMed, Liqun Jiao, MD, Yanfei Chen, BMed, Yabing Wang, BMed Journal of Vascular Surgery Volume 63, Issue 1, Pages 237-240 (January 2016) DOI: 10.1016/j.jvs.2014.04.066 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 A and C, Computed tomography angiography showed a persistent primitive hypoglossal artery (PPHA, arrow) arising from the right internal carotid artery (ICA, block arrow) at the C1-C2 level and merged with the left vertebral artery to form the basilar artery. B-E, Digital subtraction angiography showed a severe asymptomatic stenosis of the right ICA (block arrow) extending to involve the origin of the ipsilateral PPHA (arrow). F and G, Severe left common carotid artery (CCA) stenosis and left middle cerebral artery (MCA) occlusion. Journal of Vascular Surgery 2016 63, 237-240DOI: (10.1016/j.jvs.2014.04.066) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 The internal carotid artery (ICA) and persistent primitive hypoglossal artery (PPHA) lesions were predilated sequentially with a 4.0- × 20-mm balloon (A) and a 3.0- × 15-mm balloon (B) after common carotid artery (CCA) and external carotid artery (ECA) occlusion with the distal Mo.Ma balloon. C, Angiography after predilations. D, A 7- × 30-mm carotid Wallstent was deployed. Journal of Vascular Surgery 2016 63, 237-240DOI: (10.1016/j.jvs.2014.04.066) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 Carotid artery follow-up angiography showed complete revascularization and excellent intracranial blood flow to the right hemisphere and posterior circulation (A, frontal view; B, lateral view). Journal of Vascular Surgery 2016 63, 237-240DOI: (10.1016/j.jvs.2014.04.066) Copyright © 2016 Society for Vascular Surgery Terms and Conditions