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).