串联症状性颈内动脉和持续性舌下动脉狭窄的血管内支架置入及血流逆转治疗
Tandem symptomatic internal carotid artery and persistent hypoglossal artery stenosis treated by endovascular stenting and flow reversal.
作者信息
Eller Jorge L, Jahshan Shady, Dumont Travis M, Kan Peter, Siddiqui Adnan H
机构信息
Department of Neurosurgery, University at Buffalo, State University of New York, Buffalo, New York, USA.
出版信息
BMJ Case Rep. 2013 May 23;2013:bcr2012010578. doi: 10.1136/bcr-2012-010578.
Abstract
Persistence of the hypoglossal artery into adulthood is a rare vascular anomaly and, when present, provides the predominant vascular supply to the posterior circulation. We describe a case of vertebrobasilar insufficiency associated with severe high-grade stenosis of the persistent hypoglossal artery and tandem stenosis of the proximal ipsilateral internal carotid artery, treated by an endovascular approach. The unique anatomical and technical challenges associated with this case are reviewed in detail.
摘要
舌下动脉持续至成年是一种罕见的血管异常，一旦出现，它会为后循环提供主要的血管供应。我们描述了一例与持续性舌下动脉严重高度狭窄及同侧颈内动脉近端串联狭窄相关的椎基底动脉供血不足病例，采用血管内介入方法进行了治疗。本文详细回顾了与该病例相关的独特解剖学和技术挑战。
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