Acute tandem occlusion stroke in internal carotid artery and fetal posterior cerebral artery: endovascular management

When the posterior cerebral artery arises from the internal carotid artery with an absent P1 segment, it is called fetal posterior cerebral artery (FPCA). It is unclear whether FPCA increases the risk of acute ischemic stroke, and the endovascular treatment of acute ischemic stroke due to acute occl...

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Bibliographic Details
Published in:Revista de neurologiá 2023-06, Vol.76 (11), p.371-374
Main Authors: Ros-Arlanzón, P, Elvira-Soler, E, Domínguez-Rodríguez, C
Format: Article
Language:eng ; spa
Subjects:
Carotid Artery, Internal - diagnostic imaging
Case Report
Endovascular Procedures
Humans
Ischemic Stroke
Posterior Cerebral Artery - diagnostic imaging
Retrospective Studies
Stents
Stroke - etiology
Thrombectomy
Treatment Outcome
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Summary:When the posterior cerebral artery arises from the internal carotid artery with an absent P1 segment, it is called fetal posterior cerebral artery (FPCA). It is unclear whether FPCA increases the risk of acute ischemic stroke, and the endovascular treatment of acute ischemic stroke due to acute occlusion of FPCA is not well established. We report a case of acute ischemic stroke due to tandem occlusion of internal carotid artery and ipsilateral fetal posterior cerebral artery treated successfully with acute stenting of proximal lesion and mechanical thrombectomy of distal lesion with excellent neurological and functional outcomes. Although further investigations are needed to determine the best treatment of these patients, endovascular treatment of fetal posterior cerebral artery occlusion is feasible.
ISSN:1576-6578
0210-0010
1576-6578
DOI:10.33588/rn.7611.2022432