Trattamento delle occlusioni croniche totali delle coronarie mediante la tecnica subintimal tracking and reentry (STAR) modificata. La tecnica STAR guidata dal contrasto

Translated title of the contribution: Treatment of chronic total coronary occlusions by the subintimal tracking and reentry modified technique. The contrast-guided STAR technique

Salvatore Garibaldi, Cosmo Godino, Mauro Carlino, Marco Mussardo, Azeem Latib, Luca Costanzo, Davide Tomasello, Armando E. Lo Schiavo, Rosario Evola, Corrado Tamburino, Alfredo R. Galassi, Antonio Colombo

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Background. Previous data showed that recanalization of chronic total occlusions (CTO) with the subintimal tracking and reentry (STAR) technique is feasible. However, this technique is challenging and requires skilled operators to be performed. The aim of this study was to evaluate procedural and clinical outcomes of patients undergoing a contrast-guided STAR procedure. Methods. All consecutive patients (n = 121) with coronary CTO treated with the contrast-guided STAR technique in three Italian centers were included in this study, after failure of conventional CTO approaches. Results. The right coronary artery was involved in 76.8%, with blunt morphology in 62.8%. Angiographic and procedural success rates were 82.6% and 64.4%, respectively, with a 69.4% rate of complete recanalization. Stent implantation was performed in 81.8% of cases, using drug-eluting stents in 94.4%. Procedural complications occurred in 7.4% of cases. During follow-up no episodes of myocardial infarction were observed, but one cardiac death (0.8%). No definite or probable stent thrombosis was reported. The overall rate of target lesion revascularization was 21.4%. Conclusions. This study demonstrated that the contrast-guided STAR technique appears to be a feasible and relatively safe procedure when performed as rescue technique after failure of conventional CTO approaches. However, this procedure is limited by a high rate of target lesion revascularization and a second procedure may be necessary to obtain a definitive result.

Translated title of the contributionTreatment of chronic total coronary occlusions by the subintimal tracking and reentry modified technique. The contrast-guided STAR technique
Original languageItalian
Pages (from-to)584-589
Number of pages6
JournalGiornale Italiano di Cardiologia
Volume11
Issue number7-8
StatePublished - Jul 2010
Externally publishedYes

Keywords

  • Coronary angioplasty
  • Coronary occlusions
  • Stents

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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