Mechanical recanalization of total coronary occlusions with the use of a new guide wire

American Heart Journal
B ReimersAntonio Colombo

Abstract

The mechanical approach in the recanalization of total coronary occlusions consisted of the use of a new 0.014-inch standard coronary guide wire with jointless spring coil design that improves steering characteristics and tip stiffness. In addition, a 0.014-inch soft tip wire with hydrophilic coating and low-profile 1.5 mm over-the-wire balloons were used. The first wire was used selectively in 86 patients to treat 95 total occlusions, of which 51 (54%) were older than 3 months. Unfavorable angiographic characteristics were present in 79 (83%) of 95 lesions. Overall crossing success was 71% (67 of 95 lesions). Complications were one coronary perforation with cardiac tamponade necessitating emergency bypass surgery. In conclusion, the mechanical approach with the use of the standard coronary guide wire with jointless spring coil design provides a high success rate in the recanalization of unfavorable total occlusions.

Citations

Feb 7, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mickey ScheinowitzItzhak Siev-Ner
Jan 12, 2005·The American Journal of Cardiology·Sunao NakamuraDamras Tresukosol
Dec 10, 2002·International Journal of Cardiovascular Interventions·Imad SheibanAntonio Colombo
Jun 11, 2002·Journal of Interventional Cardiology·P A Morales, R R Heuser
Jul 12, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Shigeru SaitoMasanobu Yamamoto
Jan 22, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·S R DixonC J Hammett
Jun 1, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Etsuo TsuchikaneTakahiko Suzuki
Oct 27, 2004·Circulation Journal : Official Journal of the Japanese Circulation Society·Shigenori ItoMakoto Itoh

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