Preoperative percutaneous carotid artery recanalization in a patient with aortic dissection type A

Aubin Hug; Memedi Egzon; Mehdiani Arash; Lichtenberg Artur; Albert Alexander

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Preoperative percutaneous carotid artery recanalization in a patient with aortic dissection type A

机译：在具有主动脉夹层的患者中术前经皮颈动脉重新分析

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Management of patients with acute type A aortic dissection (ATAAD) presenting with cerebral malperfusion due to carotid artery obstruction is still a major challenge and often associated with poor prognosis despite successful surgical aortic repair, due to prolonged cerebral perfusion deficit. Here, we present the first report regarding successful percutaneous recanalization of an internal carotid artery occlusion in the setting of an ATAAD before open surgical aortic repair with excellent clinical outcome after three year follow-up, including almost full neurological recovery.

机译：急性A型主动脉夹层（ATAAD）患者因颈动脉阻塞而出现脑灌注异常，其治疗仍然是一个重大挑战，尽管手术成功修复了主动脉，但由于长期的脑灌注不足，其预后往往较差。在这里，我们提出了第一份关于在开放性主动脉外科修复术前使用ATAAD成功经皮再通颈内动脉阻塞的报告，三年随访后临床效果良好，包括几乎完全的神经恢复。

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来源
《Journal of cardiac surgery.》 |2021年第9期|共3页
作者
Aubin Hug; Memedi Egzon; Mehdiani Arash; Lichtenberg Artur; Albert Alexander;
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作者单位

Heinrich Heine Univ Dusseldorf Univ Hosp Dusseldorf Dept Cardiac Surg Dusseldorf Germany;

Heinrich Heine Univ Dusseldorf Univ Hosp Dusseldorf Dept Cardiac Surg Dusseldorf Germany;

Heinrich Heine Univ Dusseldorf Univ Hosp Dusseldorf Dept Cardiac Surg Dusseldorf Germany;

Heinrich Heine Univ Dusseldorf Univ Hosp Dusseldorf Dept Cardiac Surg Dusseldorf Germany;

Dortmund Hosp Dept Cardiac Surg Dortmund Germany;

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正文语种 eng
中图分类心脏血管和淋巴系外科学;
关键词
aortic dissection; carotid artery revascularization; carotid occlusion; cerebral malperfusion;

机译：主动脉夹层;颈动脉血运重建;颈动脉闭塞;脑孕型;

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机译：急救经皮外部分流术可恢复患有急性主动脉夹层和颈动脉阻塞的患者的颈动脉血流。
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Preoperative percutaneous carotid artery recanalization in a patient with aortic dissection type A

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