Aortic Dissection Repair Using the STABILISE Technique Associated with Arch Procedures: Report of Two Cases

Area of Science:

• Cardiovascular Surgery
• Endovascular Techniques
• Aortic Disease Management

Background:

• The stent assisted balloon induced intimal disruption and relamination in aortic dissection repair (STABILISE) technique is gaining traction for complicated aortic dissections.
• Limited scientific data exists for this relatively new procedure.

Observation:

• This paper presents two cases involving the STABILISE technique in conjunction with procedures on the ascending aorta and supra-aortic trunks.
• One case included a "frozen elephant trunk" procedure, while the other involved carotid endarterectomy, vertebral artery reimplantation, and partial arch debranching.

Findings:

• The STABILISE technique was successfully applied in complex aortic dissection cases involving extensive aortic repair.
• Reported cases demonstrate the feasibility of combining STABILISE with other major aortic surgical procedures.

Implications:

• The STABILISE technique presents a viable endovascular alternative for treating complicated aortic dissections.
• Further long-term follow-up and broader clinical experience are necessary to fully establish the safety and efficacy of the STABILISE technique.