Key result
STABILISE technique achieves 100% dissection membrane disruption and relamination.
Why the study?
Despite effective acute treatments for aortic dissection, 30%–50% of patients require secondary procedures for progressive aneurysmal enlargement of the untreated aorta, prompting introduction of the STABILISE technique.
Does the STABILISE technique improve aortic remodeling in patients with aortic dissection?
Observational (n=19)
No
Does the STABILISE technique improve aortic remodeling in patients with aortic dissection?
The STABILISE technique achieved 100% relamination in the stented segment, suggesting it is an effective method for improving aortic remodeling in aortic dissection.
Supports STABILISE evaluation in aortic dissection; leaves open need for RCTs to confirm outcomes.
Background : Contemporary treatments of acute aortic dissection, including medical, surgical, and endovascular options, are remarkably effective at the management of malperfusion and rupture. Unfortunately, long-term studies indicate that 30%–50% of patients need secondary procedures to treat progressive aneurysmal enlargement of the untreated aorta. The Stent-assisted balloon-induced intimal disruption and relamination in aortic dissection repair (STABILISE) technique was introduced to improve long-term outcomes. Purpose : This study aims to investigate the results of the STABILISE technique in patients with aortic dissection. Methods : This is a single-center, retrospective review of all patients treated with the STABILISE technique. There were 12 de novo type B aortic dissection (TBAD) and 7 residual TBAD following type A aortic dissection (TAAD) repair. Results : There was disruption of the dissection membrane and relamination in all or part of the bare metal stent segment in 100% of cases. The average percent attainment of a uni-luminal aorta in comparison to the length with persistent false lumen was 91 ± 12%. Conclusion : Midterm results suggest that the STABILISE technique may improve aortic remodeling after endovascular treatment of acute dissection.
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Eidt et al. (2024) conducted an observational in Aortic dissection (n=19). STABILISE technique was evaluated on Disruption of the dissection membrane and relamination in all or part of the bare metal stent segment. The STABILISE technique achieved disruption of the dissection membrane and relamination in 100% of cases, with an average 91% attainment of a uni-luminal aorta.
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