Volume 103, Issue 1 pp. 80-88
CASE REPORT

Intravascular ultrasound-guided STAR 2.0: A new technique for chronic total occlusion recanalization

Roberto Garbo MD

Roberto Garbo MD

Maria Pia Hospital—GVM, Turin, Italy

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Mario Iannaccone MD

Mario Iannaccone MD

S.G. Bosco Hospital—ASL Città di Torino, Turin, Italy

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Francesco Bruno MD

Francesco Bruno MD

Cardiovascular and Thoracic Department, Division of Cardiology, Città della Salute e della Scienza, Turin, Italy

Department of Medical Sciences, Division of Cardiology, University of Turin, Turin, Italy

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Manfredi Arioti MD

Corresponding Author

Manfredi Arioti MD

Santa Maria delle Croci Hospital—AUSL Romagna, Ravenna, Italy

Correspondence Manfredi Arioti, MD, Reparto di Cardiologia, Ospedale Santa Maria delle Croci—AUSL Romagna, Viale Randi 5, Ravenna (Ra), Italy.

Email: [email protected] and [email protected]

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First published: 20 November 2023
Citations: 1

Abstract

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.

CONFLICT OF INTEREST STATEMENT

The authors declare no conflict of interest.

DATA AVAILABILITY STATEMENT

Data sharing is not applicable to this article as no new data were created or analyzed in this study.

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