Carotid Artery Stenting Before Aortic Repair for Acute Type A Aortic Dissection Complicated by Cerebral Malperfusion.

Abstract

Neurologic outcomes of patients with acute type A aortic dissection complicated by cerebral malperfusion are suboptimal. Three patients presented with hemiparesis and consciousness disturbance resulting from occlusion of the unilateral carotid artery and underwent carotid artery stenting before aortic repair. Postprocedural angiography confirmed restored intracranial perfusion, and subsequently, they underwent aortic surgery. All of them recovered without neurologic symptoms. Prior carotid artery stenting to aortic surgery for cerebral malperfusion could bring better neurologic outcomes in selected patients.