Figures
Fig. 1: Preoperative computed tomography scan. (A) Acute type A aortic dissection (white arrow) with concomitant bilateral carotid dissection as well as left ICA occlusion up to the intracranial segments (dashed arrow). (B) Perfusion scan of the brain with major perfusion deficit of almost the complete left-sided cerebral hemisphere.
Fig. 2: Percutaneous carotid intervention. (A) Digital subtraction angiography after stenting of the left CCA and ICA with normal flow into the ipsilateral cerebral hemisphere (extension of the stented area indicated by white arrows). (B) 3D reconstruction from computed tomography angiography directly after percutaneous carotid recanalization, showing carotid stenting of the left CCA and ICA.
Fig. 3: Selected images from computed tomography scan after three year follow-up. CT-scan three years after ATAAD surgery and preoperative carotid recanalization showed a stable aortic repair with a patent carotid stent in the left CCA and ICA (white arrow).