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STAR procedure becomes SAFER: First-in-man case series of a new antegrade dissection re-entry technique |
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| Authors: | Mauro Carlino MD Barry F Uretsky MD Lorenzo Azzalini MD PhD MSc Angelo Nascimbene MD Emmanouil S Brilakis MD PhD Antonio Colombo MD Sunao Nakamura MD Cosmo Godino MD Alexandre Avran MD Stéphane Rinfret MD SM Benjamin Faurie MD |
| Affiliation: | 1. Cardio-Thoracic-Vascular Department, Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy;2. Central Arkansas Veterans Health System, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA;3. Division of Cardiology, University of Washington, Seattle, Washington, USA;4. Advanced Cardiopulmonary Therapies And Transplantation (ACTAT), University of Texas at Houston, Houston, Texas, USA;5. Allina Health Minneapolis Heart Institute, Minneapolis Heart Institute Foundation, Minneapolis, USA;6. Department of Biomedical Sciences, IRCCS Humanitas Research Hospital, Humanitas University, Rozzano, Milan, Italy;7. Interventional Cardiology Unit, New Tokyo Hospital, Chiba, Japan;8. Department of Cardiology, Centre hospitalier de Valenciennes, Valenciennes, France;9. Division of Cardiology, Emory University, Atlanta, Georgia, USA;10. Division of Cardiology, Institut Cardiovasculaire, Grenoble, France |
| Abstract: | IntroductionAntegrade dissection and re-entry (ADR) is an integral part of the hybrid algorithm, which has allowed for improved outcomes in chronic total occlusion (CTO) coronary intervention (PCI).MethodsA new ADR method, Subintimal Antegrade FEnestration and Re-entry (SAFER), is described. The results of a first-in-man series are presented.ResultsSAFER was performed on seven consecutive patients with angiographic and clinical success in all patients.ConclusionsThis first-in-man study has shown that the SAFER technique is feasible and effective with the possibility of improving the antegrade PCI CTO success rate. |
| Keywords: | antegrade dissection re-entry chronic total occlusion percutaneous coronary intervention |
