New technical approach for type B dissection: from the PETTICOAT to the STABILISE concept

The Journal of Cardiovascular Surgery
Andrea KahlbergRoberto Chiesa

Abstract

Endovascular treatment of acute complicated type B aortic dissection (TBD) has recently acquired a primary therapeutic role when anatomically feasible. However, strategies meant to simply close the proximal entry tear leave the risk of persistent perfusion of the false lumen (FL) through additional tears in the thoracoabdominal aorta, and therefore the potential for aneurysmal degeneration remains significant over the years. Thus, additional bare stent implantation in the thoracoabdominal aorta has been proposed to promote true lumen (TL) expansion, malperfusion relief, and intimal lamella stabilization. This technique, also known as the Provisional Extension To Induce Complete Attachment Technique (PETTICOAT) offers good short- and mid-term results, but some degree of perfusion of the FL is still maintained, and the aorta showed a tendency to grow distally to the stent-graft. An evolution of PETTICOAT, mainly including aggressive ballooning of the covered stent-graft and of the distal bare stents deployed in the TL, in order to obtain full expansion of the stents in a single channeled aorta, has been proposed in 2012 and named Stent-Assisted Balloon-Induced Intimal Disruption and Relamination in Aortic Dissection Repair (STABI...Continue Reading

References

Jan 1, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Naoki ItoTetsu Yamaguchi
Nov 3, 2005·Nature Clinical Practice. Cardiovascular Medicine·Peter J MossopIan K Nixon
Dec 13, 2006·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Christoph A NienaberHüseyin Ince
Jan 31, 2012·Journal of Vascular Surgery·Germano MelissanoRoberto Chiesa
Aug 16, 2012·The Journal of Thoracic and Cardiovascular Surgery·Sophie C HofferberthPeter J Mossop
Sep 15, 2012·Journal of Vascular Surgery·Luca BertoglioRoberto Chiesa
Apr 23, 2013·The Journal of Thoracic and Cardiovascular Surgery·Sophie C HofferberthPeter J Mossop
Oct 19, 2013·Journal of Vascular Surgery·Elsa M FaurePierre Alric
Feb 25, 2014·Journal of Vascular Surgery·Joseph V LombardiUNKNOWN STABLE investigators
Aug 8, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Stephan KischeHüseyin Ince
Nov 14, 2017·Journal of Atherosclerosis and Thrombosis·Shuichiro Kaji
Jun 13, 2018·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Elsa M FaureJean-Marc Alsac
Nov 30, 2018·Clinical Chemistry and Laboratory Medicine : CCLM·Hongwei YangGuoxian Zhu
Dec 7, 2018·The Journal of Thoracic and Cardiovascular Surgery·Elsa Madeleine FaureJean-Marc Alsac

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Related Papers

The Journal of Cardiovascular Surgery
Pablo Marques de MarinoAthanasios Katsargyris
Aorta : Official Journal of the Aortic Institute at Yale-New Haven Hospital
Vamshi Krishna KothaJehangir J Appoo
© 2022 Meta ULC. All rights reserved