Successful Recanalization of a Longstanding Complete Left Subclavian Vein Occlusion by Radiofrequency Perforation with Use of a Radiofrequency Guide Wire

Baerlocher, Mark O.; Asch, Murray; Myers, Andy

doi:10.1097/01.rvi.0000243637.23923.a7

Cited by 32 publications

(11 citation statements)

References 13 publications

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“…This was previously explored in a report of the PowerWire being successfully used in a patient with an occluded subclavian vein. 10 In our series, the PowerWire easily crossed highly resistant venous obstructions in every patient.…”

Section: Discussionmentioning

confidence: 95%

Radiofrequency thermal wire is a useful adjunct to treat chronic central venous occlusions

Iafrati

Maloney

Halin

2012

Journal of Vascular Surgery

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Conventional techniques for central venous recanalization are successful in crossing most lesions but still fail in many patients. We used a radiofrequency wire in these failed cases. We report three patients with complicated central venous occlusions in whom conventional catheter and guidewire techniques were not successful and who were successfully treated using the PowerWire Radiofrequency Guidewire (Baylis Medical Company Inc, Montreal, QC, Canada). Occlusions were traversed using the radiofrequency wire, followed by angioplasty and stenting. The average length recanalized was 8.2 ± 3.6 cm. One patient required repeat angioplasty at 4 months. All stents were patent at 12 to 15 months. The radiofrequency wire is valuable in the management of patients with refractory central venous occlusions.

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Section: Discussionmentioning

confidence: 95%

Radiofrequency thermal wire is a useful adjunct to treat chronic central venous occlusions

Iafrati

Maloney

Halin

2012

Journal of Vascular Surgery

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“…More recently, endovascular radiofrequency wire perforation has been used to treat congenital heart defects [2]. There has been a case report of the use of a radiofrequency wire in treating an occluded left subclavian vein in a dialysis patient [3]. More recently, there has been a published case series of the use of a radiofrequency wire for recanalization of biliary anastomotic occlusions [4].…”

Section: Discussionmentioning

confidence: 98%

Radiofrequency Guide Wire Recanalization of Venous Occlusions in Patients with Malignant Superior Vena Cava Syndrome

Davis

David

Pugash

et al. 2011

Cardiovasc Intervent Radiol

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Fibrotic central venous occlusions in patients with thoracic malignancy and prior radiotherapy can be impassable with standard catheters and wires, including the trailing or stiff end of a hydrophilic wire. We report two patients with superior vena cava syndrome in whom we successfully utilized a radiofrequency guide wire (PowerWire, Baylis Medical, Montreal, Quebec, Canada) to perforate through the occlusion and recanalize the occluded segment to alleviate symptoms.

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“…A similar strategy has been reported using the PowerWire (Baylis Medical, Montreal, Quebec) for opening central vein occlusions; however, the cost of the 0.035-in wire is $1500, not accounting for the generator, and there are potential safety concerns of crossing with a 0.035-in wire. 8 , 9 …”

Section: Discussionmentioning

confidence: 99%

Percutaneous electrosurgical technique for treatment of subclavian vein occlusion: Application of transcaval techniques

Foerst

Kim

May

2017

HeartRhythm Case Reports

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Successful Recanalization of a Longstanding Complete Left Subclavian Vein Occlusion by Radiofrequency Perforation with Use of a Radiofrequency Guide Wire

Cited by 32 publications

References 13 publications

Radiofrequency thermal wire is a useful adjunct to treat chronic central venous occlusions

Radiofrequency thermal wire is a useful adjunct to treat chronic central venous occlusions

Radiofrequency Guide Wire Recanalization of Venous Occlusions in Patients with Malignant Superior Vena Cava Syndrome

Percutaneous electrosurgical technique for treatment of subclavian vein occlusion: Application of transcaval techniques

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