Aortic rupture during STABILISE (stent-assisted balloon-induced intimal disruption and relamination in aortic dissection repair) technique.

Authors :: Hsu AC
DiBartolomeo AD
Han SM
Fleischman F
Magee GA
Source :: Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2023 Sep 29; Vol. 9 (4), pp. 101338. Date of Electronic Publication: 2023 Sep 29 (Print Publication: 2023).
Publication Year :: 2023
Abstract: The STABILISE (stent-assisted balloon-induced intimal disruption and relamination in aortic dissection repair) technique has shown promising results for treating type B aortic dissections, but the potential exists for fatal adverse effects. We present a case of infrarenal aortic rupture while using a compliant balloon to balloon mold the true lumen inside previously placed bare metal stents during the STABILISE technique. Caution is advised for providers who wish to perform the STABILISE technique, and we recommend using a semi-compliant balloon sized to the smallest total aortic diameter to mitigate the risk of rupture.<br />Competing Interests: None.<br /> (© 2023 The Author(s).)

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