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Recanalization of chronic coronary occlusions using a new hydrophilic guidewire

✍ Scribed by Corcos, Thierry ;Favereau, Xavier ;Guérin, Yves ;Toussaint, Marcel ;Ouzan, James ;Zheng, Hong ;Pentousis, Dimitrios

Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
522 KB
Volume
44
Category
Article
ISSN
0098-6569

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✦ Synopsis

Chronic total occlusion remains a relative contraindication and the main cause of failure of coronary angioplasty. Previously available hydrophilic guidewires had numerous limitations. The Crosswire is a new 0.014Љ hydrophilic nitinol guidewire which can be accommodated by very-low-profile balloon catheters and has a shapeable and highly radiopaque platinum-iridium coiled tip. This guidewire was used in 55 patients with 56 chronic coronary occlusions in which recanalization by conventional guidewires had failed. Clinical success was 79%. Coronary perforation occurred in two cases, one of them requiring pericardiocentesis for tamponade.

These results illustrate the usefulness of this new guidewire in the treatment of chronic total occlusions. Cathet.

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