Intravascular ultrasound-guided STAR 2.0: A new technique for chronic total occlusion recanalization.
Roberto GarboMario IannacconeFrancesco BrunoManfredi AriotiPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2023)
The use of the subintimal space has allowed a massive advancement in the field of chronic total occlusion percutaneous coronary intervention (PCI). The STAR technique is the first of subintimal techniques. Despite a high acute success rate, follow-up results showed unfavorable outcomes with half of the treated patients showing restenosis/reocclusion at 6 months. We present three cases in which a modification of the STAR technique guided by intravascular ultrasound (IVUS), namely the STAR 2.0, was used as a bailout for successful PCI of chronic total occlusions.
Keyphrases
- percutaneous coronary intervention
- coronary artery disease
- acute myocardial infarction
- st segment elevation myocardial infarction
- acute coronary syndrome
- ultrasound guided
- antiplatelet therapy
- st elevation myocardial infarction
- newly diagnosed
- end stage renal disease
- coronary artery bypass grafting
- coronary artery
- ejection fraction
- atrial fibrillation
- prognostic factors
- peritoneal dialysis
- heart failure
- skeletal muscle
- respiratory failure
- patient reported outcomes
- left ventricular
- middle cerebral artery
- adipose tissue
- drug induced
- fine needle aspiration
- mechanical ventilation