Side Branch Protection with Hydrophilic Polymer Coated Guide Wire During Cutting Balloon Angioplasty of a Bifurcated Lesion

Oyama, Naotsugu; Urasawa, Kazushi; Sakai, Hiromu; Kitabatake, Akira

doi:10.1536/jhj.44.565

Cited by 3 publications

(2 citation statements)

References 13 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings may have been affected by the high frequency of SB protection using a guide-wire in the low-angle group. However, the clinical importance of using a guide-wire for SB protection during PCI has not been well established, despite several studies regarding guide-wire or jailed balloon protection techniques [20,21]. …”

Section: Discussionmentioning

confidence: 99%

Impact of Coronary Bifurcation Angle on Clinical Outcomes after Percutaneous Coronary Intervention in Real-World Practice: Results from the COBIS Registry

Yang

Song

et al. 2012

Cardiology

View full text Add to dashboard Cite

Objectives: Bifurcation angle has emerged as a predictor of outcome after percutaneous coronary intervention (PCI) for bifurcation lesions. We investigated the impact of bifurcation angle on clinical outcomes in patients undergoing bifurcation lesion PCI. Methods: Consecutive patients who received PCI for bifurcation lesions were enrolled from 16 centers in Korea between January 2004 and June 2006. Patients were divided into low-angle and high-angle groups using the median bifurcation angle (50°). We compared major adverse cardiac events, including cardiac death, myocardial infarction and target lesion revascularization as well as periprocedural outcomes between the 2 groups. Results: We evaluated 1,432 patients with bifurcation lesions with a median follow-up duration of 21 months. The rates of interventional side branch procedures such as guide-wiring of side branches, side-branch ballooning, final kissing ballooning and side-branch stenting were higher in the low-angle group. However, the incidences of major adverse cardiac events and target lesion revascularization were not significantly different between the 2 groups (6.6 vs. 6.9%, p = 0.856 and 4.6 vs. 5.7%, p = 0.375, respectively). Conclusions: Bifurcation angle may not influence long-term clinical outcome in patients with non-left main bifurcation lesion undergoing PCI despite its association with more interventional side-branch procedures.

show abstract

Section: Discussionmentioning

confidence: 99%

Impact of Coronary Bifurcation Angle on Clinical Outcomes after Percutaneous Coronary Intervention in Real-World Practice: Results from the COBIS Registry

Yang

Song

et al. 2012

Cardiology

View full text Add to dashboard Cite

show abstract

“…Therefore, many operators prefer these wires for navigating the tortuous anatomy and crossing tight lesions [ 5 ]. The performance of several hydrophilic-coated guidewires has been individually described in the clinical practice [ 6 7 8 9 10 11 12 13 14 ]. Kähler et al [ 6 ] reported that the hydrophilic guidewire is an effective tool to treat chronic coronary occlusions, even when recanalization attempts with conventional guidewires fail.…”

Section: Introductionmentioning

confidence: 99%

Hydrophilic guidewire usage under ultrasound guidance in facilitating catheter advancement during endovenous treatment of incompetent great saphenous veins

et al. 2022

View full text Add to dashboard Cite

Purpose This study was performed To investigate the use of hydrophilic guidewires for facilitating catheter advancement during varicose vein treatment using radiofrequency ablation (RFA) or cyanoacrylate closure (CAC). Methods From March 2016 to April 2019, 463 limbs of 285 with incompetent great saphenous veins were subjected to RFA (321 limbs of 197 patients) or CAC (142 limbs of 88 patients). Procedure records were reviewed for the use of a hydrophilic guidewire, reason for the guidewire usage, and diameter of the guidewire. Results A hydrophilic guidewire was used to facilitate catheter advancement to treat 92 of 463 limbs (19.9%). For RFA, a guidewire was used to treat 53 of 321 limbs (16.5%). Among them, 15 limbs (28.3%) had vasospasm, and 38 limbs (71.7%) had venous tortuosity. For CAC, guidewire was used for 39 of 142 limbs (27.5%). Among them, 10 limbs (25.6%) had vasospasm, 23 limbs (59.0%) had venous tortuosity, and 6 limbs (15.4%) had repeated engagement of a J-tip guidewire into the varicose tributaries. In CAC, the frequency of hydrophilic guidewire usage was higher than that in RFA (P = 0.006). All varicose vein treatment sessions were technically successful. Conclusion Hydrophilic guidewire usage could facilitate catheter advancement when hindered by vasospasm, tortuosity of the saphenous vein, or repeated engagement into the varicose tributaries.

show abstract

Safety of hydrophilic guidewires used for side-branch protection during stenting and proximal optimization technique in coronary bifurcation lesions

Chatterjee

Brott

Foley

et al. 2016

Cardiovascular Revascularization Medicine

View full text Add to dashboard Cite

Side Branch Protection with Hydrophilic Polymer Coated Guide Wire During Cutting Balloon Angioplasty of a Bifurcated Lesion

Cited by 3 publications

References 13 publications

Impact of Coronary Bifurcation Angle on Clinical Outcomes after Percutaneous Coronary Intervention in Real-World Practice: Results from the COBIS Registry

Impact of Coronary Bifurcation Angle on Clinical Outcomes after Percutaneous Coronary Intervention in Real-World Practice: Results from the COBIS Registry

Hydrophilic guidewire usage under ultrasound guidance in facilitating catheter advancement during endovenous treatment of incompetent great saphenous veins

Safety of hydrophilic guidewires used for side-branch protection during stenting and proximal optimization technique in coronary bifurcation lesions

Contact Info

Product

Resources

About