Key result
STABILISE safely promotes positive aortic remodeling in acute and subacute type B aortic dissections.
Why the study?
The STABILISE technique was proposed to treat type B aortic dissections and promote positive aortic remodeling, prompting a detailed overview of procedural planning, surgical execution, and perioperative management.
The STABILISE technique is described as a safe and effective endovascular approach to promote positive aortic remodeling in patients with complicated acute/subacute type B aortic dissection.
Should not yet change practice for type B dissections; leaves open the need for prospective validation of STABILISE.
The goals of treating type B aortic dissections include maintaining or restoring blood supply in cases of organ malperfusion, preventing aortic rupture, promoting aortic remodeling, and preventing disease progression and aneurysmal degeneration. The European Society of Vascular and Endovascular Surgery guidelines recommend endovascular treatment for patients with complicated acute/subacute type B aortic dissections and those failing medical management. Several techniques have been used over the past few decades. Recently, the STABILISE (Stent-Assisted Balloon-Induced Intimal Disruption and Relamination in Aortic Dissection Repair) technique has been proposed to treat type B aortic dissections. This method involves proximal thoracic aortic stent grafting with the deployment of distal bare stents, followed by ballooning to intentionally rupture the intimal lamella, allowing the true lumen to fully expand and resulting in a "single-channeled aorta." Since its adoption, several authors have reported satisfactory results, demonstrating that the technique is safe and effective, and it could be considered a serious attempt to promote positive aortic remodeling over time. This paper provides an analysis of presurgical preparation and planning, detailed procedural description during surgery, necessary support equipment, and strategies for perioperative management.
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Mascia et al. (2024) conducted a review in Type B aortic dissections. STABILISE technique was evaluated. The STABILISE technique is described as a safe and effective method to promote positive aortic remodeling in acute/subacute type B aortic dissections.
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