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Related Concept Videos

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Related Experiment Video

Updated: Jun 12, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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STABILISE for acute type B aortic dissection.

Tatiana Cotão1, Joel Sousa2,3, Armando Mansilha1,3

  • 1Faculty of Medicine, University of Porto, Porto, Portugal.

International Angiology : a Journal of the International Union of Angiology
|September 18, 2024
PubMed
Summary

The STABILISE technique shows promising early results for type B aortic dissection (TBAD) management, achieving high success rates and false lumen obliteration. Further research is needed to confirm long-term outcomes.

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Area of Science:

  • Cardiovascular Surgery
  • Endovascular Interventions
  • Aortic Diseases

Background:

  • The STABILISE technique is an advanced endovascular method for managing acute type B aortic dissection (TBAD).
  • It aims to achieve complete aortic remodeling and improve clinical outcomes.
  • This review assesses the early and mid-term efficacy of STABILISE in TBAD patients.

Purpose of the Study:

  • To evaluate the early and mid-term clinical outcomes of the STABILISE technique in treating acute type B aortic dissection (TBAD).
  • To assess the technical success, mortality, morbidity, and re-intervention rates associated with STABILISE.

Main Methods:

  • A systematic literature search was conducted across major databases (Medline, Web of Science, Scopus, SciELO).
  • Five relevant studies involving 100 patients with TBAD managed with STABILISE were included.
  • Data extraction utilized predefined forms for comprehensive analysis.

Main Results:

  • STABILISE demonstrated 100% technical success with a 4% 30-day mortality rate.
  • Early complications included spinal cord ischemia (5%) and visceral artery occlusions (5%).
  • High rates of false lumen obliteration were observed (99% thoracic, 96% abdominal), with a 21% re-intervention rate.

Conclusions:

  • The STABILISE technique offers promising early and mid-term results for TBAD, characterized by high technical success and low mortality.
  • Excellent false lumen obliteration rates were achieved.
  • Methodological heterogeneity necessitates further prospective studies to ascertain long-term outcomes.