Magnetic‐Guided Percutaneous Coronary Intervention Enabled by Two‐Dimensional Guidewire Steering and Three‐Dimensional Virtual Angioscopy: Initial Experiences in Daily Clinical Practice

Abstract

Magnetic guided PCI is useful in selected patients. In our experience, success is less likely in evidence of a subtotal occlusion.

Initial Experience with a Magnetic Navigation System for Invasive Treatment in Patients with Non-ST-Segment Elevation Acute Coronary Syndromes

“…We adopted a 2D mode in this study considering that an additional time for the complex preparation of 3D approach may compromise any gain in crossing time and contrast usage reductions. In case of more complex anatomy, a 3D approach was adopted, which would help to decrease the procedural time in more complex anatomy lesions 21 …”

“…However, this new technique offers the possibility of reducing contrast agent usage, though this reduction is marginal. Previous studies demonstrating a substantial reduction in contrast usage have often adopted a 3D or even computed tomography imaging mode strategy, 21,22 which would overlay the reconstructed vessels onto the live fluoroscopy to be used as a roadmap. Despite this, a 2D mode is predominately used in this preliminary investigation for feasible and safety reasons.…”

Use of magnetic guidewire navigation in the treatment of lower extremity peripheral vascular disease: Report of the first human clinical experience

“…MNS has even been applied to facilitate wire placement in the use of alcohol septal ablations [5]. The use of this modality in more traditional coronary interventions, i.e., atherosclerotic coronary disease, has been the area of much recent attention, as evidenced by recently published literature [6–8].…”

“…The significant growth of percutaneous catheter delivered therapies over the past 30 years has led to increasing success rates for most clinical presentations of PAD. In addition to therapeutic advances, guidance methods such as magnetic navigation systems (MNS) to enhance and facilitate catheter and guidewire placement in varying vascular beds have been increasingly described in the medical literature [2–8]. The application of this technology to the treatment of PAD in the lower extremities has yet to be described.…”