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The STABILISE technique to address malperfusion on acute-subacute type B aortic dissections
- Source :
- The Journal of cardiovascular surgery. 63(2)
- Publication Year :
- 2022
-
Abstract
- Endovascular treatment is the current standard of care for complicated acute and subacute type B aortic dissection. Closure of the primary entry tear with thoracic endovascular aneurysm repair (TEVAR) is often insufficient to induce complete false lumen thrombosis and a positive aortic remodeling. Moreover TEVAR doesn't solve all the cases of malperfusion. The Provisional ExTension to Induce COmplete ATtachment (PETTICOAT) technique (deploying self-expandable bare metal stents in the true lumen in addition to TEVAR) can re-expand the true lumen, stabilize the lamella and promote aortic remodeling, but it does not recreate a single-lumen aorta and long-term aneurysmal degeneration of the aorta is frequent. Endovascular treatment by means of TEVAR + PETTICOAT does not recreate a single-lumen aorta so long-term aneurysmal degeneration of the aorta is frequent. The stent-assisted, balloon-induced intimal disruption and relamination of aortic dissection (STABILISE) technique may help to this purpose disrupting the intimal lamella and creating a relaminated uni-luminal aorta.
Details
- ISSN :
- 1827191X
- Volume :
- 63
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- The Journal of cardiovascular surgery
- Accession number :
- edsair.doi.dedup.....6699153ed3bd9c1814fbfb773a1ecbbd