Five-year results of the STABLE II study for the endovascular treatment of complicated, acute type B aortic dissection with a composite device design

Retrograde Type A Acute Aortic Dissection with Cerebral Malperfusion Six Years after Thoracic Endovascular Aortic Repair

“…This minimally invasive technique has several advantages over open surgical repair, including reduced operative morbidity and a shorter recovery time [ 5 ]. However, it is not without potential complications, such as procedural-related rupture, embolism, vascular injury, and stent graft-induced new entry tear [ 1 ]. One of the most formidable complications associated with TEVAR is retrograde type A aortic dsseciton [ 2 ].…”

“…Although thoracic endovascular aortic repair (TEVAR) is a well-established treatment modality for various aortic pathologies, it is associated with potential complications, including vascular injury, rupture, embolism, and stent-graft induced new entry [ 1 ]. Among these complications, retrograde type A aortic dissection requires prompt surgical intervention [ 2 ].…”

A reversed strategy for treating type B aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repair

“… 19 Moreover, recently published 5-year results of the STABLE II trial of 73 patients with acute type B dissection complicated by malperfusion and/or rupture indicate that 62% of patients with a dissection stent had an increase in the transaortic diameter at 5 years. 20 Conversely, others have reported that bare-metal stenting may offer positive remodeling in the distal aorta. 21 , 22 , 23 , 24 , 25 Concerns have also been raised that the PETTICOAT technique may jeopardize future adjunctive endovascular procedures because of stent strut interference.…”

“…The use of the baremetal stent did not hinder the performance of secondary interventions in the STABLE II trial. 20 …”