EJVES Short Reports (Jan 2019)

Aortic Dissection Repair Using the STABILISE Technique Associated with Arch Procedures: Report of Two Cases

  • Alice Lopes,
  • Ryan Gouveia Melo,
  • Miguel L. Gomes,
  • Pedro Garrido,
  • Nádia Junqueira,
  • Gonçalo Sobrinho,
  • Ruy Fernandes e Fernandes,
  • João Leitão,
  • Ângelo Nobre,
  • Luís M. Pedro

Journal volume & issue
Vol. 42
pp. 26 – 30

Abstract

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Introduction: The stent assisted balloon induced intimal disruption and relamination in aortic dissection repair (STABILISE) technique is being increasingly used for the treatment of complicated aortic dissections. However, as it is a fairly recent technique, the scientific information is limited. Report: In this paper we report two cases of the STABILISE technique associated with procedures in the ascending aorta and supra-aortic trunks, consisting of a “frozen elephant trunk” procedure in one case and in the other, a carotid endarterectomy associated with reimplantation of the vertebral artery and partial arch debranching. Discussion: In conclusion, while acknowledging the need for longer follow up and greater experience to support the safety and efficacy of this procedure, the two cases reported confirm that the STABILISE technique is a valid endovascular alternative in the treatment of complicated aortic dissections. Keywords: Aortic dissection, STABILISE, Bare stent, Stent graft, Endovascular