title: Management of large coronary dissection after STAR.
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.
authors: Cardio-Thoracic-Vascular Department, San Raffaele Institute, Milan, Italy.
authors: Cosmo
authors: C
authors: Godino
authors: Cardio-Thoracic-Vascular Department, San Raffaele Institute, Milan, Italy. Electronic address: giacomo.viani@gmail.com.
authors: Giacomo M
authors: GM
authors: Viani
authors: Cardiovascular Prevention Center, San Raffaele Institute, Milan, Italy.
authors: Pietro
authors: P
authors: Spagnolo
authors: Cardio-Thoracic-Vascular Department, San Raffaele Institute, Milan, Italy.
authors: Anna G
authors: AG
authors: Pavon
authors: Cardio-Thoracic-Vascular Department, San Raffaele Institute, Milan, Italy; EMO-GVM Centro Cuore Columbus, Milan, Italy.
authors: Antonio
authors: A
authors: Colombo
authors: Cardio-Thoracic-Vascular Department, San Raffaele Institute, Milan, Italy.
authors: Mauro
authors: M
authors: Carlino
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D002908:Chronic Disease; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D017023:Coronary Angiography / Q000379:methods; D003326:Coronary Circulation; D054059:Coronary Occlusion / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects* / Q000295:instrumentation; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
keywords: Chronic total occlusion; Percutaneous coronary intervention