The Supportive Guidewire Paradox: How Extra Support Guidewires May Hinder Equipment Delivery Through Tortuous and Calcified Coronary Lesions.

Authors :: Mahowald MK
Chami T
Brilakis ES
Source :: Cardiovascular revascularization medicine : including molecular interventions [Cardiovasc Revasc Med] 2023 Aug; Vol. 53S, pp. S216-S219. Date of Electronic Publication: 2022 May 06.
Publication Year :: 2023
Abstract: Percutaneous coronary intervention of heavily calcified coronary vessels can be challenging due to difficult equipment delivery and suboptimal stent expansion, leading to worse clinical outcomes. Supportive guidewires are designed to facilitate equipment delivery. We present two cases of heavily calcified and tortuous coronary lesions in which use of support guidewires hindered balloon and stent delivery, possibly by increasing friction between equipment and the wall of the coronary vessel. Equipment delivery was achieved using less supportive workhorse guidewires.<br />Competing Interests: Declaration of competing interest<br /> (Copyright © 2022 Elsevier Inc. All rights reserved.)

Subjects :: Humans
Coronary Angiography
Equipment Design
Heart
Stents
Treatment Outcome
Angioplasty, Balloon, Coronary
Percutaneous Coronary Intervention
Coronary Artery Disease diagnostic imaging
Coronary Artery Disease therapy

Language :: English
ISSN :: 1878-0938
Volume :: 53S
Database :: MEDLINE
Journal :: Cardiovascular revascularization medicine : including molecular interventions
Publication Type :: Report
Accession number :: 35550866
Full Text :: https://doi.org/10.1016/j.carrev.2022.05.007

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