Disruption of Membrane to Remodel Aorta after Type B Dissection: the Final Solution?

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

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.

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Two cases of complicated aortic dissection treated using the STABILISE technique.

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Both cases have another feature related to the need for associated aortic arch procedures.

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As it is a fairly recent technique, the scientific information about this technique is limited.