Management of large coronary dissection after STAR

Cardiovasc Revasc Med. 2014 Jan;15(1):58-60. doi: 10.1016/j.carrev.2013.07.001. Epub 2013 Aug 19.

Abstract

The guided-STAR technique is an alternative anterograde approach for treatment of coronary chronic total occlusion (CTO) and it is usually followed by implantation of multiple stents. We describe a case of residual long coronary dissection left unstented after guided-STAR, with good results at 2months follow-up. This case emphasizes the fact that sometimes even the longest coronary dissections can be left unstented especially in the contest of a CTO.

Keywords: Chronic total occlusion; Percutaneous coronary intervention.

Publication types

  • Case Reports

MeSH terms

  • Aortic Dissection / diagnosis
  • Aortic Dissection / etiology*
  • Aortic Dissection / physiopathology
  • Chronic Disease
  • Coronary Aneurysm / diagnosis
  • Coronary Aneurysm / etiology*
  • Coronary Aneurysm / physiopathology
  • Coronary Angiography / methods
  • Coronary Circulation
  • Coronary Occlusion / diagnosis
  • Coronary Occlusion / physiopathology
  • Coronary Occlusion / therapy*
  • Humans
  • Iatrogenic Disease*
  • Male
  • Middle Aged
  • Multidetector Computed Tomography
  • Percutaneous Coronary Intervention / adverse effects*
  • Percutaneous Coronary Intervention / instrumentation
  • Stents
  • Time Factors
  • Treatment Outcome
  • Ultrasonography, Interventional