{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:15:11Z","timestamp":1768522511807,"version":"3.49.0"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T00:00:00Z","timestamp":1541721600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine whether a variation of an abandoned antegrade percutaneous coronary intervention (PCI) technique, termed subintimal tracking and reentry (STAR), could be a safe and effective strategy to contend with complex coronary chronic total occlusions (CTO) when other strategies fail.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Complex CTOs require advanced techniques such as the retrograde approach, which is associated with higher complication rates than antegrade strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The medical records of 32 consecutive patients who underwent deferred stenting following STAR (DSS) between January 2015 and May 2017 at a high\u2010volume referral center were retrospectively reviewed. The primary endpoint was technical success at the time of a second procedure following STAR\u2010based balloon angioplasty, defined as successful stenting or the presence of Thrombolysis in Myocardial Infarction Study Group (TIMI) 3 flow with &lt;50% residual stenosis if the vessel caliber was inappropriate for stenting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 781 CTO PCI procedures, STAR was performed in 45 (5.8%) and DSS in 32 (4.1%), constituting the analysis cohort. The median Japanese\u2010CTO score was 2.5 [interquartile range (IQR) 1.0\u20133.0]. Median inter\u2010procedure time was 2.4\u2009months [1.7\u20133.3\u2009months]. Technical success was achieved in 28 (88%) patients; 23 (72%) patients were treated with stents and 5 (16%) with balloon angioplasty alone. Combined complications included one clinical perforation, one MI, and one stent thrombosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Deferred stenting after subintimal plaque modification via the STAR technique is a safe and effective strategy to contend with complex CTO lesions when other techniques are prohibitively high risk or have failed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.27783","type":"journal-article","created":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T12:05:47Z","timestamp":1541765147000},"page":"191-198","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Revascularization of coronary chronic total occlusions with subintimal tracking and reentry followed by deferred stenting: Experience from a high\u2010volume referral center"],"prefix":"10.1002","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5388-2260","authenticated-orcid":false,"given":"Patrick J.","family":"Goleski","sequence":"first","affiliation":[{"name":"Saint Luke's Mid America Heart Institute  Kansas City Missouri"},{"name":"Department of Internal Medicine Section of Cardiovascular Disease University of Missouri Kansas City  Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenta","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiology University of Washington  Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Liebeskind","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiology University of Washington  Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1161-6356","authenticated-orcid":false,"given":"Adam C.","family":"Salisbury","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart Institute  Kansas City Missouri"},{"name":"Department of Internal Medicine Section of Cardiovascular Disease University of Missouri Kansas City  Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Aaron","family":"Grantham","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart Institute  Kansas City Missouri"},{"name":"Department of Internal Medicine Section of Cardiovascular Disease University of Missouri Kansas City  Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0452-2327","authenticated-orcid":false,"given":"James M.","family":"McCabe","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiology University of Washington  Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William L.","family":"Lombardi","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiology University of Washington  Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.12.007"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.108.825760"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV9I10A197"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2015.02.038"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2011.04.023"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2015-308891"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccl.2012.04.009"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.05.065"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20307"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21699"},{"key":"e_1_2_7_12_1","first-page":"584","article-title":"Treatment of chronic total coronary occlusions by the subintimal tracking and reentry modified technique. 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