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STABILISE; treatment of aortic dissection, a single Centre experience

Mitreski, G, Flanders, D, Maingard, Julian, Robinson, D, Chuen, J, Matalanis, G, Seevanayagam, S, Kok, HK, Ranatunga, D, Asadi, H and Brooks, DM 2022, STABILISE; treatment of aortic dissection, a single Centre experience, CVIR Endovascular, vol. 5, no. 1, pp. 1-10, doi: 10.1186/s42155-022-00286-2.

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Title STABILISE; treatment of aortic dissection, a single Centre experience
Author(s) Mitreski, G
Flanders, D
Maingard, JulianORCID iD for Maingard, Julian orcid.org/0000-0001-8958-2411
Robinson, D
Chuen, J
Matalanis, G
Seevanayagam, S
Kok, HK
Ranatunga, D
Asadi, H
Brooks, DM
Journal name CVIR Endovascular
Volume number 5
Issue number 1
Article ID 7
Start page 1
End page 10
Total pages 10
Publisher Springer
Place of publication Berlin, Germany
Publication date 2022
ISSN 2520-8934
Summary 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.
Language eng
DOI 10.1186/s42155-022-00286-2
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30162331

Document type: Journal Article
Collections: School of Psychology
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.