Key result
Open brachiocephalic artery stenting simultaneous with central aortic repair resulted in no neurological or stent-induced complications at the latest follow-up in two cases.
Why the study?
Residual brachiocephalic artery dissection following central aortic repair for acute type A aortic dissection is associated with late neurological events, warranting additional intervention in selected cases.
Does open brachiocephalic artery stenting simultaneous with central aortic repair prevent neurological complications in patients with acute type A aortic dissection complicated by brachiocephalic artery dissection?
Case Report (n=2)
Does open brachiocephalic artery stenting simultaneous with central aortic repair prevent neurological complications in patients with acute type A aortic dissection complicated by brachiocephalic artery dissection?
Open brachiocephalic artery stenting simultaneous with central aortic repair may be a safe strategy to prevent late neurological events in selected cases of acute type A aortic dissection.
May support feasibility in select acute type A dissections; hypothesis-generating and should not change practice.
Brachiocephalic artery dissection complicated by acute type A aortic dissection occasionally causes cerebral malperfusion. Although immediate central aortic repair has been the standard treatment for aortic dissection, dissection in supra-aortic vessels frequently remains after the surgery. The residual brachiocephalic artery dissection is reported to be associated with late neurological events. Therefore, additional intervention for brachiocephalic artery dissection during central aortic repair should be considered in selected cases. In this report, we describe two cases requiring open brachiocephalic artery stenting simultaneous with central aortic repair. There were no neurological or stent induced complications at latest follow-up.
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Kitahara et al. (2019) conducted a case report in Brachiocephalic artery dissection complicated by acute type A aortic dissection (n=2). Open brachiocephalic artery stenting simultaneous with central aortic repair was evaluated on Neurological or stent induced complications. Open brachiocephalic artery stenting simultaneous with central aortic repair resulted in no neurological or stent-induced complications at the latest follow-up in two cases.
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