Carotid Endarterectomy for Internal Carotid Artery Stenosis Associated with Persistent Primitive Hypoglossal Artery : Efficacy of Intraoperative Multi-modality Monitoring

Kawabori, M.; Kuroda, S.; Yasuda, H.; Hokari, M.; Nakayama, N.; Saito, H.; Iwasaki, Y.

Carotid Endarterectomy for Internal Carotid Artery Stenosis Associated with Persistent Primitive Hypoglossal Artery : Efficacy of Intraoperative Multi-modality Monitoring

Kawabori, M.; Kuroda, S.; Yasuda, H. et al.

Minimally invasive neurosurgery : MIN, 2009, 52(05/06), 263-266

Permalink : https://hdl.handle.net/2115/70792

このアイテムのアクセス数:893件（2026-08-19 12:25 集計）

閲覧可能ファイル

ファイル	フォーマット	サイズ	閲覧回数	説明
MIN52_263	pdf	617 KB	723

論文情報

ファイル出力 EndNote Basic出力 Mendeley出力

アクセス権	open access
URI	https://hdl.handle.net/2115/70792
タイトル	Carotid Endarterectomy for Internal Carotid Artery Stenosis Associated with Persistent Primitive Hypoglossal Artery : Efficacy of Intraoperative Multi-modality Monitoring
著者	Kawabori, M. ; Kuroda, S. ; Yasuda, H. ; Hokari, M. ; Nakayama, N. ; Saito, H. ; Iwasaki, Y.
e-Rad_Researcher 50399870 著者名 Kawabori, M. 著者別名 Kawabori, Masahito
著者名 Kuroda, S.
著者名 Yasuda, H.
著者名 Hokari, M.
著者名 Nakayama, N.
著者名 Saito, H.
著者名 Iwasaki, Y.
言語	英語
キーワード	persistent primitive hypoglossal artery
	carotid stenosis
	cerebral infarction
	carotid endarterectomy
	intraoperative angiography
発行日	2009-10
出版者	Thieme
収録物名	Minimally invasive neurosurgery : MIN
巻(号)	52(05/06)
ページ	263-266
抄録	Persistent primitive hypoglossal artery (PPHA) is a rare vascular anomaly and is usually asymptomatic. However, the PPHA may cause multi-territorial infarction when complicated by the internal carotid artery (ICA) stenosis. In this report, we describe a 73-year-old male who simultaneously developed cerebral infarction in both carotid and vertebrobasilar territories due to ICA stenosis associated with ipsilateral PPHA. The PPHA mainly provided blood flow to the vertebrobasilar territory in this case, because the bilateral vertebral arteries were markedly hypoplastic. He underwent carotid endarterectomy under internal shunting. Intraoperative multi-modality monitoring including angiography, motor evoked potential, and near infrared spectroscopy was very useful to avoid ischemic complications during surgery. Postoperative course was uneventful. It should be reminded that persistent carotid-basilar anastomosis can cause multi-territorial cerebral infarction mimicking cardiogenic embolism and may be a candidate for aggressive prophylactic intervention, when occlusive lesions develop in the carotid artery. It is very important to monitor hemodynamic and/or electrophysiological status in both carotid and verebrobasilar territories to perform carotid endarterectomy safely in such cases.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	© 2009 Georg Thieme Verlag
PISSN	0946-7211
関連情報	PMID 20077371
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1055/s-0029-1243243