Advertisement

Coronary Guidewires

  • Gábor G. Tóth
  • Masahisa Yamane
  • Guy R. Heyndrickx
Chapter

Abstract

Amid a large set of tools available to perform a successful percutaneous coronary intervention, guidewires have received far less attention than guide catheters, stents, etc., although their key role during the procedure is at least as important. Guidewires may all look similar, but their internal structure varies widely and, as a consequence, their technical characteristics do show major differences. These various characteristics result from the different materials and internal structures of the different parts of the guidewire—i.e., the core, tip, body, cover, and coating—and so they affect guidewire performance. The selection of a particular guidewire is based on one or more specifications—such as flexibility, steerability, support, trackability, torquability, and tip load—needed to tackle the target lesion and the entire target vessel. In-depth knowledge of this information will help in choosing the most appropriate tool for any given lesion and so contribute to a successful procedure.

References

  1. 1.
    Gruentzig AR, Senning A, Siegenthaler WE. Non-operative dilatation of coronary artery stenosis: percutaneous transluminal angioplasty. N Engl J Med. 1979;301:61.CrossRefGoogle Scholar
  2. 2.
    Detre K, Holubkov R, Kelsey S, Cowley M, Kent K, Williams D, Myler R, Faxon D, Holmes D Jr, Bourassa M, et al. Percutaneous transluminal coronary angioplasty in 1985–1986 and 1977–1981. The National Heart, Lung, and Blood Institute Registry. N Engl J Med. 1988;318:265–70.CrossRefPubMedGoogle Scholar
  3. 3.
    Simpson JB, Baim DS, Robert EW, Harrison DC. A new catheter system for coronary angioplasty. Am J Cardiol. 1982;49:1216–22.CrossRefPubMedGoogle Scholar
  4. 4.
    Lim ST, Koh TH. Guide catheters and wires. Percutaneous interventional cardiovascular medicine: the EAPCI textbook. Vol. II, 1. 2012. p. 3–34.Google Scholar
  5. 5.
    Kaltenbach M. Neue Technik Zur Steuerbaren Ballon dilatation Von Kranzgefassverengungen. Z Kardiol. 1984;73:669–73.PubMedGoogle Scholar
  6. 6.
    Bonzel T, Wollschlaeger H, Kasper W, Meinertz T, Just H. The sliding rail system (monorail): description of a new technique for intravascular instrumentation and its application to coronary angioplasty. Z Kardiol. 1987;76:119–22.PubMedGoogle Scholar
  7. 7.
    Galassi AR, Ganyukov V, Tomasello SD, Haes B, Leonid B. Successful antegrade revascularization by the innovation of composite core dual coil in a three-vessel total occlusive disease for cardiac arrest patient using extracorporeal membrane oxygenation (ECMO). Eur Heart J. 2014;35:2009.CrossRefPubMedGoogle Scholar
  8. 8.
    Bryson B. A short history of nearly everything. New York: Penguin Random House; 2003.Google Scholar
  9. 9.
    Erglis A, Narbute I, Sondore D, Grave A, Jegere S. Tools and techniques: coronary guidewires. EuroIntervention. 2010;6:1–8.CrossRefGoogle Scholar
  10. 10.
    Kato O, Tsuchikane E, Nasu K, Suzuki T. Coronary collaterals as an access for the retrograde approach in the percutaneous treatment of coronary chronic total occlusions. Catheter Cardiovasc Interv. 2007;69:826–32.CrossRefGoogle Scholar
  11. 11.
    Barbato E, Colombo A, Heyndrickx GR. Interventional technology: rotational atherectomy. Percutaneous interventional cardiovascular medicine: the EAPCI textbook. Vol. II, 3–6. 2012. p. 195–211.Google Scholar
  12. 12.
    Tonino PAL, Sels J-W EM, Pils NHJ. Invasive physiological assessment of coronary disease. Percutaneous interventional cardiovascular medicine: the EAPCI textbook. Vol. I, 2–8. 2012. p. 505–28.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Gábor G. Tóth
    • 1
  • Masahisa Yamane
    • 2
  • Guy R. Heyndrickx
    • 3
  1. 1.University Heart Centre Graz, Medical University GrazGrazAustria
  2. 2.Department of CardiologySekishinkai Sayama HospitalSaitamaJapan
  3. 3.Cardiovascular Center Aalst, OLV-ClinicAalstBelgium

Personalised recommendations