Format

Send to

Choose Destination
Eur J Vasc Endovasc Surg. 2018 Aug;56(2):209-215. doi: 10.1016/j.ejvs.2018.04.008. Epub 2018 Jun 8.

Mid-term Outcomes of Stent Assisted Balloon Induced Intimal Disruption and Relamination in Aortic Dissection Repair (STABILISE) in Acute Type B Aortic Dissection.

Author information

1
Department of Vascular and Endovascular Surgery, Georges Pompidou European Hospital, Paris, France; PhyMedExp, University of Montpellier, INSERM, CNRS, Montpellier, France; INSERM U970 - PARCC, René Descartes University of Medicine, Paris, France. Electronic address: elsafaure@hotmail.com.
2
Department of Vascular and Endovascular Surgery, Georges Pompidou European Hospital, Paris, France; INSERM U970 - PARCC, René Descartes University of Medicine, Paris, France.
3
Department of Vascular and Endovascular Surgery, Georges Pompidou European Hospital, Paris, France.

Abstract

OBJECTIVES:

This article reports mid-term results of 41 patients treated by the stent assisted balloon induced intimal disruption and relamination (STABILISE) technique for acute type B aortic dissection.

METHODS:

Between November 2011 and November 2017, 41 patients (10 male; median age 50 years) underwent proximal descending aortic stent grafting plus stent assisted balloon induced intimal disruption of the thoraco-abdominal aorta for acute type B aortic dissection. Serial computed tomography angiography was used to assess aortic remodelling.

RESULTS:

There were no intra-procedural complications. Fifteen branch arteries supplied by the false lumen were stented (9% of the visceral branch arteries). The thirty day incidence of death, stroke, and paralysis/visceral ischaemia was 2% (n = 1), 0%, 5% (n = 2), and 2% (n = 1) respectively. During a median follow up of 12 months (range 1-168) eight patients (20%) required re-intervention. Primary visceral stent patency was 93% (n = 14). No aortic related deaths occurred. On the most recent computed tomography angiogram, complete false lumen obliteration and aortic remodelling was obtained in all patients at the thoraco-abdominal level, and in 39% (n = 16) at the unstented infrarenal aorto-iliac level. The maximum aortic diameter increased in only two patients (5%) at the unstented infrarenal level.

CONCLUSION:

To obtain immediate and durable thoraco-abdominal aortic remodelling in acute type B dissections, the STABILISE technique is safe and reproducible while not compromising the patency of collateral branches.

KEYWORDS:

Aortic dissection; Bare stent; Endovascular; STABILISE; TEVAR

PMID:
29891434
DOI:
10.1016/j.ejvs.2018.04.008
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center