Posterior Circulation Mechanical Thrombectomy through Primitive Trigeminal Artery: A Case Report
Abstract: Introduction: Primitive trigeminal artery (PTA) is a rare intracranial vascular malformation, and mechanical thrombectomy and revascularization via PTA are rarely reported. Case Presentation: We reported a case of mechanical thrombectomy through PTA in a patient who presented with sudden slurred speech and had a National Institutes of Health Stroke Scale score of 12. Digital subtraction angiography of the cerebral vasculature showed PTA formation in the right internal carotid artery cavernous segment, with acute occlusion of the distal basilar artery at the PTA junction, and bilateral vertebral arteries and proximal basilar artery were underdeveloped. Therefore, we chose mechanical thrombectomy via PTA, but unfortunately, the vessel failed to recanalize. Follow-up at 1-month post-procedure indicated that the patient had passed away. We present the endovascular process and analyze and summarize the reasons for the failure to provide a reference for subsequent mechanical thrombectomy via PTA. Conclusions: PTA increases the risk of ischemic stroke and adds to the complexity of mechanical thrombectomy post-stroke. However, in certain situations, PTA can be used as a thrombectomy channel to increase the first-line possibility of timely endovascular treatment to save ischemic brain tissue.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Posterior Circulation Mechanical Thrombectomy through Primitive Trigeminal Artery: A Case Report ; volume:16 ; number:1 ; year:2024 ; pages:28-35 ; extent:8
Case reports in neurology ; 16, Heft 1 (2024), 28-35 (gesamt 8)
- Creator
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Gao, Xiaoshan
Wang, Tianhong
Chen, Jun
Chen, Jiangjun
Wang, Ying
Yang, Kui
Gu, Youquan
Yao, Lihe
- DOI
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10.1159/000535871
- URN
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urn:nbn:de:101:1-2406270054138.493261652516
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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14.08.2025, 10:47 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Gao, Xiaoshan
- Wang, Tianhong
- Chen, Jun
- Chen, Jiangjun
- Wang, Ying
- Yang, Kui
- Gu, Youquan
- Yao, Lihe
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