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STABILISE; treatment of aortic dissection, a single Centre experience

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journal contribution
posted on 2022-01-01, 00:00 authored by G Mitreski, D Flanders, Julian MaingardJulian Maingard, D Robinson, J Chuen, G Matalanis, S Seevanayagam, H K Kok, D Ranatunga, H Asadi, D M Brooks
Abstract
Purpose
To outline the process of the STABILISE technique and its use; reporting patient outcomes and midterm follow up for complicated aortic dissection.

Materials and methods
Single centre retrospective analysis from January 2011 to January 2021 using the STABILISE technique which utilises balloon assistance to facilitate intimal disruption and promote aortic relamination.

Results
Sixteen patients underwent endovascular aortic repair with the STABILISE technique for aortic dissection over the study period. Fourteen patients (14/16; 88%) had acute dissection. Two of 16 (12%) were chronic. The median age of the patient cohort was 61 years (range 32–80 years) and consisted of a male majority (n = 11; 69%). The median time from diagnosis to intervention was 5 days (1–115 days; IQR 1–17.3). More than half (56%) had surgical repair of a acute type A aortic dissection prior to radiological intervention. The procedure was technically successful with no procedural mortality. Two patients were lost to follow up and two died in the post-operative period. Twelve patients had ongoing follow up with an average number of 2.9 ± 1.6 scans performed. Follow up was available in thirteen patients (81%) with a median follow up period of 1097 days (IQR 707–1657). The rate of re-intervention (n = 2/16; 13%) requiring additional stenting was in line with published re-intervention data (15%). Follow up showed a reduction in false lumen size following treatment with total luminal dimensions remaining stable over the follow-up period.

Conclusion
The STABILISE technique as a procedure for complicated aortic dissection, either acute or chronic, appears safe with stable mid-term aortic remodelling and patient outcomes.

Level of evidence
Level 3, Retrospective cohort study.

History

Journal

CVIR Endovascular

Volume

5

Issue

1

Article number

7

Pagination

1 - 10

Publisher

Springer

Location

Berlin, Germany

eISSN

2520-8934

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

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