The STABILISE technique using a compliant balloon to mold the true lumen inside bare metal stents resulted in an infrarenal aortic rupture in one patient.
Case Report (n=1)
The STABILISE technique for type B aortic dissection carries a risk of fatal aortic rupture when using a compliant balloon, prompting a recommendation to use a semi-compliant balloon sized to the smallest total aortic diameter.
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.
Hsu et al. (Fri,) conducted a case report in Type B aortic dissection (n=1). STABILISE technique was evaluated on Infrarenal aortic rupture. The STABILISE technique using a compliant balloon to mold the true lumen inside bare metal stents resulted in an infrarenal aortic rupture in one patient.