{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:42:15Z","timestamp":1761745335666},"reference-count":14,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>The prevalence of persistent primitive trigeminal artery (PPTA) has been reported to be 0.1\u20130.6%. We report the successful recanalization of internal carotid artery (ICA) without embolization to new vascular territory (ENT) using a combined technique in a case of ICA occlusion with PPTA.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 65-year-old female presented with sudden consciousness disorder. The Glasgow Coma Scale score was 7 (E1, V1, M5) and National Institutes of Health Stroke Scale score was 28. Magnetic resonance diffusion-weighted imaging showed areas of high signal intensity in the left frontal lobe, parietal lobe, insular cortex, and corona radiata. Magnetic resonance angiography showed occlusion of the left ICA distal to a PPTA. We performed mechanical thrombectomy (MT) using a combined technique with a balloon guide catheter (BGC), aspiration catheter, and stent retriever and achieved complete recanalization without ENT. The patient experienced a good postoperative recovery course. At 6 months, her Modified Rankin Scale score was 2.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>MT using a combined technique with BGC would be useful to prevent embolization to the posterior circulation through the PPTA in cases of ICA occlusion with PPTA.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_657_2020","type":"journal-article","created":{"date-parts":[[2020,10,15]],"date-time":"2020-10-15T05:19:45Z","timestamp":1602739185000},"page":"345","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Successful mechanical thrombectomy using a combined technique for internal carotid artery occlusion with persistent primitive trigeminal artery"],"prefix":"10.25259","volume":"11","author":[{"given":"Yoshinobu","family":"Horio","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Kawano Neurosurgery Hospital, Morimachinishi, Oita, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Fukuda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fukuoka University Hospital and School of Medicine, Nanakuma Jonan-Ku, Fukuoka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaya","family":"Yoshinaga","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kawano Neurosurgery Hospital, Morimachinishi, Oita, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuhei","family":"Takeyama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kawano Neurosurgery Hospital, Morimachinishi, Oita, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hironori","family":"Fukumoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kawano Neurosurgery Hospital, Morimachinishi, Oita, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiminori","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kawano Neurosurgery Hospital, Morimachinishi, Oita, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihisa","family":"Kawano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kawano Neurosurgery Hospital, Morimachinishi, Oita, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tooru","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fukuoka University Hospital and School of Medicine, Nanakuma Jonan-Ku, Fukuoka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2020,10,15]]},"reference":[{"key":"10.25259\/SNI_657_2020\/ref-1","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1136\/neurintsurg-2017-013179","article-title":"Impact of balloon guide catheter on technical and clinical outcomes: A systematic review and meta-analysis","volume":"10","author":"Brinjikji","year":"2018","journal-title":"J Neurointerv Surg"},{"key":"10.25259\/SNI_657_2020\/ref-2","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1148\/91.6.1096","article-title":"The significance of persistent trigeminal artery. 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The collaborators of the North American Carotid Endarterectomy Trial (NASCET)","volume":"25","author":"Gasecki","year":"1994","journal-title":"Stroke"},{"key":"10.25259\/SNI_657_2020\/ref-4","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1186\/s12883-016-0559-6","article-title":"Successful recanalization for internal carotid artery occlusion with persistent primitive trigeminal artery manifesting only as ischemia of the posterior circulation","volume":"16","author":"Hiramatsu","year":"2016","journal-title":"BMC Neurol"},{"key":"10.25259\/SNI_657_2020\/ref-5","doi-asserted-by":"crossref","first-page":"400","DOI":"10.3340\/jkns.2016.59.4.400","article-title":"Acute ischemic stroke involving both anterior and posterior circulation treated by endovascular revascularization for acute basilar artery occlusion via persistent primitive trigeminal artery","volume":"59","author":"Imahori","year":"2016","journal-title":"J Korean Neurosurg 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