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Results of new endovascular repair STABILISE for aortic dissections in Marfan patients Volume 31, issue 5, September-October 2019

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Authors
Hôpital Européen Georges Pompidou, APHP, Service de chirurgie vasculaire, 20, rue Leblanc, 75015 Paris, France
* Tirés à part

Between 2015 and November 2017, seven patients with Marfan syndrome were treated with the STABILISE endovascular technique for type B acute aortic dissection. This technique consists of performing distal fenestration of dissection flap, induced by balloon dilation of an uncovered aortic stent in the visceral aorta. It complements the closure of the main entry tear with a stent graft, and aims to achieve a complete seal of the false lumen of the dissection at the thoraco-abdominal level, considered as the riskyest of aneurysmal evolution.

The technical success has been achieved in 100%. Three patients required additional treatment by stenting of renal artery (n=2) and iliac artery (n=1).

No death, stroke, spinal cord ischemia, gastrointestinal or renal ischemia were observed during a follow-up of 15 months. One reoperation was required for proximal type I endoleak. Complete aortic remodeling with healing of the treated thoracoabdominal aorta was obtained in all patients on their last control CT. Only one patient had aneurysmal growth of an iliac artery.

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