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

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 prior to open surgical aortic repair with excellent clinical outcome after three year follow-up, including almost full neurological recovery.

Effective extension of the pacemaker to the CRT-P with simultaneous percutaneous recanalization of the obstructed left brachiocephalic vein

We present a case of a man with a previously implanted DDD pacemaker, NYHA functional class III heart failure and asymptomatic left brachiocephalic vein obstruction. The DDD pacemaker was extended to the system of resychronization CRT-P despite obstruction of the left brachiocephalic vein.