title: Final results of the STent versus directional coronary Atherectomy Randomized Trial (START)
abstract: OBJECTIVE
  This study was designed to compare primary stenting with optimal directional coronary atherectomy (DCA).
  
  
  BACKGROUND
  No previous prospective randomized trial comparing stenting and DCA has been performed.
  
  
  METHODS
  One hundred and twenty-two lesions suitable for both Palmaz-Schatz stenting and DCA were randomly assigned to stent (62 lesions) or DCA (60 lesions) arm. Single or multiple stents were implanted with high-pressure dilation in the stent arm. Aggressive debulking using intravascular ultrasound (IVUS) was performed in the DCA arm. Serial quantitative angiography and IVUS were performed preprocedure, postprocedure and at six months. The primary end point was restenosis, defined as > or =50% diameter stenosis at six months. Clinical event rates at one year were also assessed.
  
  
  RESULTS
  Baseline characteristics were similar. Procedural success was achieved in all lesions. Although the postprocedural lumen diameter was similar (2.79 vs. 2.90 mm, stent vs. DCA), the follow-up lumen diameter was significantly smaller (1.89 vs. 2.18 mm; p = 0.023) in the stent arm. The IVUS revealed that intimal proliferation was significantly larger in the stent arm than in the DCA arm (3.1 vs. 1.1 mm ; p < 0.0001), which accounted for the significantly smaller follow-up lumen area of the stent arm (5.3 vs. 7.0 mm2; p = 0.030). Restenosis was significantly lower (32.8% vs. 15.8%; p = 0.032), and target vessel failure at one year tended to be lower in the DCA arm (33.9% vs. 18.3%; p = 0.056).
  
  
  CONCLUSIONS
  These results suggest that aggressive DCA may provide superior angiographic and clinical outcomes to primary stenting.
authors.affiliation: Department of Cardiology, Osaka Medical Center, Higashinari, Japan. oscmed1@skyblue.ocn.ne.jp
authors.forename: E
authors.initials: E
authors.lastname: Tsuchikane
authors.forename: S
authors.initials: S
authors.lastname: Sumitsuji
authors.forename: N
authors.initials: N
authors.lastname: Awata
authors.forename: T
authors.initials: T
authors.lastname: Nakamura
authors.forename: T
authors.initials: T
authors.lastname: Kobayashi
authors.forename: M
authors.initials: M
authors.lastname: Izumi
authors.forename: S
authors.initials: S
authors.lastname: Otsuji
authors.forename: H
authors.initials: H
authors.lastname: Tateyama
authors.forename: M
authors.initials: M
authors.lastname: Sakurai
authors.forename: T
authors.initials: T
authors.lastname: Kobayashi
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D017225:Atherectomy, Coronary / Q000295:instrumentation; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000628:therapy*; D019160:Endosonography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D015607:Stents; D016896:Treatment Outcome