Midterm Results of the STABILISE Technique in the Treatment of Aortic Dissection

<b>Background</b>: Contemporary treatments of acute aortic dissection, including medical, surgical, and endovascular options, are remarkably effective at the management of malperfusion and rupture. Unfortunately, long-term studies indicate that 30%-50% of patients need secondary procedures to treat progressive aneurysmal enlargement of the untreated aorta. The Stent-assisted balloon-induced intimal disruption and relamination in aortic dissection repair (STABILISE) technique was introduced to improve long-term outcomes. <b>Purpose</b>: This study aims to investigate the results of the STABILISE technique in patients with aortic dissection. <b>Methods</b>: This is a single-center, retrospective review of all patients treated with the STABILISE technique. There were 12 de novo type B aortic dissection (TBAD) and 7 residual TBAD following type A aortic dissection (TAAD) repair. <b>Results</b>: There was disruption of the dissection membrane and relamination in all or part of the bare metal stent segment in 100% of cases. The average percent attainment of a uni-luminal aorta in comparison to the length with persistent false lumen was 91 ± 12%. <b>Conclusion</b>: Midterm results suggest that the STABILISE technique may improve aortic remodeling after endovascular treatment of acute dissection.