RT Book, Section
A1 Abbott, J. Dawn
A1 Williams, David O.
A2 Samady, Habib
A2 Fearon, William F.
A2 Yeung, Alan C.
A2 King III, Spencer B.
SR Print(0)
ID 1146598198
T1 Coronary Guidewire Manipulation
T2 Interventional Cardiology, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071820363
LK accesscardiology.mhmedical.com/content.aspx?aid=1146598198
RD 2024/04/19
AB Appropriate  selection  and  manipulation  of  equipment  is  critical  to  successful  percutaneous  coronary  intervention  (PCI)  outcomes  and  low  complication  rates.  The  guidewire  is  the  first  piece  of  interventional  equipment  to  contact  the  lesion  to  be  treated.  Proper  intraluminal  advancement  of  the  guidewire  through  the  lesion  and  into  the  distal  vessel  allows  the  coronary  guidewire  to  serve  as  the  backbone  for  the  safe  delivery  of  diagnostic  and  therapeutic  devices  while  maintaining  secure  and  safe  access  to  the  vessel  lumen.  Although  the  current  standard  0.014-inch  wires  are  suitable  for  the  majority  of  interventions,  operator  familiarity  and  facility  with  guidewire  selection  and  manipulation  are  still  paramount.  The  advent  of  specialty  guidewires,  such  as  those  designed  for  chronic  total  occlusions  (CTOs),  has  furthered  our  ability  to  successfully  treat  more  complex  lesions,  but  the  use  of  these  wires  requires  an  understanding  of  specific  wire  performance  features  and  the  possible  complications  that  can  result  from  their  use.  Given  the  wide  variety  of  guidewires  that  are  available,  knowledge  of  their  design,  materials  and  structure  aids  the  operator  in  understanding  unique  differences  in  performance  and  ultimately  in  making  the  proper  selection  for  an  individual  patient  or  lesion.