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STAR in CTO PCI : When is STAR not a star?
Author(s) -
Hira Ravi S.,
Dean Larry S.
Publication year - 2016
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.26538
Subject(s) - medicine , timi , thrombolysis , restenosis , reentry , balloon , angioplasty , stent , dissection (medical) , cardiology , star (game theory) , myocardial infarction , radiology , surgery , astrophysics , physics
Key Points Subintimal tracking and reentry (STAR) has been used as a bailout strategy and involves an uncontrolled dissection and recanalization into the distal lumen to reestablish vessel patency. In the current study, thrombolysis in myocardial infarction (TIMI) flow < 3 was the only variable which they found to be significantly associated with restenosis and reocclusion after stent placement. It may be reasonable to consider second generation drug eluting stent placement in patients receiving STAR that have TIMI 3 flow, however, this should only be done if there is no compromise of major side branches. If unsure, we recommend to perform balloon angioplasty without stenting.