Knuckle Guidewires to Create Dissections in Chronic Total Occlusion Percutaneous Coronary Intervention

IF 11.7 1区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

JACC. Cardiovascular interventions Pub Date : 2024-10-28 DOI:10.1016/j.jcin.2024.09.066

Stéphane Rinfret MD, SM , Glen A. Henry MD , Jaikirshan J. Khatri MD , Kambis Mashayekhi MD, PhD , Khaldoon Alaswad MD , Lorenzo Azzalini MD, PhD, MSc , Luiz F. Ybarra MD, PhD, MBA , Ram Vijayaraghavan MD , Jarrod D. Frizzell MD , Alexandre Avran MD , Margaret B. McEntegart MD , William L. Lombardi MD , J. Aaron Grantham MD , Emmanouil Brilakis MD

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引用次数: 0

Abstract

Dissection and re-entry techniques are essential to achieve safe and effective chronic total occlusion recanalization. Several studies have demonstrated similar outcomes following extraplaque stenting compared with intraplaque stenting. Dissection techniques most often involve the use of knuckled wires to progress within and beyond the chronic total occlusion segment. In this expert consensus document, the authors compare the properties of different polymer-jacketed wires for their use in dissection techniques. The authors also describe 2 principal knuckle wire behaviors, the rolling and the traveling knuckles. Finally, several adjunctive techniques for safer dissection are described.

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在慢性全闭塞经皮冠状动脉介入治疗中使用指节式导丝创建分节

要实现安全有效的慢性全闭塞再通畅，分节和再入口技术至关重要。多项研究表明，斑块外支架植入术与斑块内支架植入术的疗效相似。剥离技术最常见的是使用带节钢丝在慢性全闭塞区段内和外侧推进。在这份专家共识文件中，作者比较了不同聚合物护套导线在剥离技术中使用的特性。作者还描述了两种主要的节线行为，即滚动节线和行进节线。最后，还介绍了几种更安全的解剖辅助技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JACC. Cardiovascular interventions CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

11.60

自引率

8.80%

发文量

756

审稿时长

4-8 weeks

期刊介绍： JACC: Cardiovascular Interventions is a specialist journal launched by the Journal of the American College of Cardiology (JACC). It covers the entire field of interventional cardiovascular medicine, including cardiac, peripheral, and cerebrovascular interventions. The journal publishes studies that will impact the practice of interventional cardiovascular medicine, including clinical trials, experimental studies, and in-depth discussions by respected experts. To enhance visual understanding, the journal is published both in print and electronically, utilizing the latest technologies.