Coronary disease & ACSRandomised controlled trial

Early vs Late Staged Percutaneous Coronary Intervention (PCI) After Subintimal Tracking and Re-Entry for Chronic Total Occlusions

J Am Coll CardiolPublished

  • Randomised controlled trial
  • multicentre (6 centres)

Authors' conclusion

Although vessel patency was higher at the start of early staged procedures, there were no statistically significant differences for partial technical success of the staged procedure with early or late treatment.

Study context

Population
Patients undergoing chronic total occlusion (CTO) PCI with subintimal tracking and re-entry (STAR) and deferred stenting
Participants
150 patients
Comparison
Early vs late staged PCI after STAR
  • Earlyn = 73
  • Laten = 77reference
Primary endpoint
Partial technical success of the staged procedure (TIMI flow grade 2-3 with <30% residual stenosis into at least 1 ≥2.5 mm distal branch)

Primary result

As reported in the abstract

P = 0.08

Further findings

TIMI flow grade 2-3 in target vessel at start of staged procedure · P = 0.048 after adjustment

P = 0.012

Original publication

Early vs Late Staged PCI After Subintimal Tracking and Re-Entry for Chronic Total Occlusions. J Am Coll Cardiol. Published 26 November 2025. doi:10.1016/j.jacc.2025.09.1598

Summarised from the published abstract; every number is checked against it