Related Experiment Video
Updated: May 8, 2026
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Management of large coronary dissection after STAR
Cosmo Godino1, Giacomo M Viani1, Pietro Spagnolo2
1Cardio-Thoracic-Vascular Department, San Raffaele Institute, Milan, Italy.
Summary
The guided-STAR technique for coronary chronic total occlusion (CTO) can sometimes avoid stenting even for long dissections. This case study shows good outcomes without stenting residual dissections after CTO treatment.
Area of Science:
- Cardiovascular Interventions
- Interventional Cardiology
- Coronary Artery Disease
Background:
- Coronary chronic total occlusion (CTO) presents complex revascularization challenges.
- The guided-STAR technique offers an anterograde approach for CTO treatment.
- Stent implantation is a common follow-up strategy after guided-STAR procedures.
Observation:
- A case involving the guided-STAR technique for CTO is presented.
- A significant residual coronary dissection occurred post-procedure.
- This dissection was intentionally left unstented.
Findings:
- The unstented residual coronary dissection demonstrated favorable outcomes at 2-month follow-up.
- Successful treatment of CTO was achieved despite the unstented dissection.
- This challenges the routine need for stenting all post-procedural dissections.
Implications:
- Suggests that extensive coronary dissections following guided-STAR may not always require stenting.
- Highlights the potential for conservative management of certain dissections in CTO interventions.
- May influence future treatment strategies for complex coronary artery disease, optimizing stent utilization.
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