Aortic rupture during STABILISE (stent-assisted balloon-induced intimal disruption and relamination in aortic dissection repair) technique

Ashley C. Hsu, MD; Alexander D. DiBartolomeo, MD; Sukgu M. Han, MD, MS; Fernando Fleischman, MD; Gregory A. Magee, MD, MSc

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2023)

Aortic rupture during STABILISE (stent-assisted balloon-induced intimal disruption and relamination in aortic dissection repair) technique

Ashley C. Hsu, MD,
Alexander D. DiBartolomeo, MD,
Sukgu M. Han, MD, MS,
Fernando Fleischman, MD,
Gregory A. Magee, MD, MSc

Affiliations

Ashley C. Hsu, MD: Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Southern California, Los Angeles, CA
Alexander D. DiBartolomeo, MD: Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Southern California, Los Angeles, CA
Sukgu M. Han, MD, MS: Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Southern California, Los Angeles, CA
Fernando Fleischman, MD: Division of Cardiothoracic Surgery, Department of Surgery, University of Southern California, Los Angeles, CA
Gregory A. Magee, MD, MSc: Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Southern California, Los Angeles, CA; Correspondence: Gregory A. Magee, MD, MSc, Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Southern California, 1520 San Pablo St, Ste 4300, Los Angeles, CA 90033

Journal volume & issue: Vol. 9, no. 4
p. 101338

Abstract

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The STABILISE (stent-assisted balloon-induced intimal disruption and relamination in aortic dissection repair) technique has shown promising results for treating type B aortic dissections, but the potential exists for fatal adverse effects. We present a case of infrarenal aortic rupture while using a compliant balloon to balloon mold the true lumen inside previously placed bare metal stents during the STABILISE technique. Caution is advised for providers who wish to perform the STABILISE technique, and we recommend using a semi-compliant balloon sized to the smallest total aortic diameter to mitigate the risk of rupture.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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