Case Report: Hybrid retrograde transcarotid stenting for common carotid artery dissection secondary to acute type A aortic dissection - Takeaways - MDSpire

Case Report: Hybrid retrograde transcarotid stenting for common carotid artery dissection secondary to acute type A aortic dissection

  • By

  • Jiacai Zuo

  • Qi Yang

  • Yi Yang

  • Zhaokun Li

  • Xinyu Zou

  • Xiaochen Gong

  • Yufeng Tang

  • June 18, 2026

  • 0 min

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  • 1

    Endovascular repair is effective for symptomatic carotid artery dissection, especially when hemodynamic compromise or embolic risk is present.

  • 2

    A 48-year-old man developed left common carotid artery dissection and cerebral malperfusion after acute type A aortic dissection repair.

  • 3

    Emergent surgical cervical exposure allowed retrograde transcarotid access and deployment of three overlapping stents to treat the dissection.

  • 4

    Final angiography showed complete reperfusion with a modified Thrombolysis in Cerebral Infarction grade of 3 and no distal embolization.

  • 5

    The hybrid approach of retrograde transcarotid access may be a viable option when transfemoral access is not feasible after ATAAD repair.

Original Source(s)

Case Report: Hybrid retrograde transcarotid stenting for common carotid artery dissection secondary to acute type A aortic dissection

  • by Jiacai Zuo, Qi Yang, Yi Yang, Zhaokun Li, Xinyu Zou, Xiaochen Gong, Yufeng Tang

  • June 18, 2026

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