EurekaMag.com logo
+ Site Statistics
References:
53,869,633
Abstracts:
29,686,251
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Simplified Method for Insertion of Steerable Guide into the Left Atrium Using a Pigtail Guide Wire During the MitraClip(®) Procedure: A Technical Tip



Simplified Method for Insertion of Steerable Guide into the Left Atrium Using a Pigtail Guide Wire During the MitraClip(®) Procedure: A Technical Tip



Journal of Interventional Cardiology 28(5): 472-478



To assess whether a new floppy pigtail guidewire provides sufficient support for introduction of the 22F-steerable guide catheter (SG) into the left atrium and is less time-consuming during the MitraClip(®) -procedure without necessity of probing and inserting a stiff wire into the pulmonary vein. In group 1, traditional probing of the left upper pulmonary vein and insertion of a standard stiff wire was used. In group 2, direct insertion of the floppy pigtail guidewire directly after transseptal puncture was used. Patients in group 1 (n = 18) and group 2 (n = 21) did not differ significantly with respect to mitral regurgitation severity (3.2 ± 0.4 vs 3.2 ± 0.4; P = 0.814) and etiology (functional 78% vs 71%, P = 0.651). Comparing both methods, a significant reduction in time-to-SG was observed in group 2 versus group 1 (17 ± 7 minutes vs 30 ± 11 minutes; P = 0.001). The rate of crossing failures was 0% with use of the floppy pigtail guidewire as well as with the traditional technique. No complications were observed with use of the floppy pigtail guidewire. Utilization of a thin, floppy pigtail guidewire for left atrium access is safe and markedly accelerates insertion of the SG for the MitraClip(®) -procedure without crossing failures of the atrial septum.

(PDF emailed within 0-6 h: $19.90)

Accession: 058854550

Download citation: RISBibTeXText

PMID: 26346179

DOI: 10.1111/joic.12224



Related references

Steerable guide-wire for insertion of ureteric stent into tortuous ureter. British Journal of Urology 57(5): 595-595, 1985

Steerable guide wire for balloon dilatation procedure us patent 4545390 oct 8 1985. 1985

An unexpected complication of the MitraClip device: one of the arms gets stuck inside the guide catheter in the left atrium. Turk Kardiyoloji Dernegi Arsivi 43(3): 281-283, 2015

Successful Recanalization Using a Hydrophilic-Coated Guide Wire in Total Coronary Occlusions After Unsuccessful PTCA Attempts with Standard Steerable Guide Wires. Journal of Interventional Cardiology 3(4): 225-230, 1990

Guide Wire-Assisted Simplified Insertion of Silicone Endobronchial Prostheses. Journal of Bronchology 2(2): 135-138, 1995

Steerable infusion guide wire. Official Gazette of the United States Patent & Trademark Office Patents 1169(4): 2288-2289, Dec 27, 1994

Technical developments: use of targeting guide wire in left subclavian puncture during percutaneous implantation of port-catheter systems using the catheter tip fixation method. European Radiology 13(4): 863-866, 2003

Wire insertion guide and method of use in pinning bones. Official Gazette of the United States Patent & Trademark Office Patents 1221(1), 15-JUN-99, 1999

Guide wire advancer and assembly and method for advancing a guide wire. Official Gazette of the United States Patent & Trademark Office Patents 1269(4), Apr 22, 2003

Low profile, coated steerable guide wire. Official Gazette of the United States Patent & Trademark Office Patents 1176(3): 1574, July 18, 1995

Multiple stent placement with a new steerable guide wire. Gastrointestinal Endoscopy 36(6): 595-596, 1990

Remotely steerable guide wire with external control wires. Official Gazette of the United States Patent & Trademark Office Patents 1241(4), Dec 26, 2000

Steerable guide wire for catheters us patent 4800890 january 31 1989. Official Gazette of the United States Patent & Trademark Office Patents 1098(5): 2214-2215, 1989

Percutaneous coronary angioscopy by means of a fiberscope with a steerable guide wire. American Heart Journal 117(5): 1153-1155, 1989

Application of PTCA steerable guide wire for abdominal and peripheral interventional angiography. Nihon Igaku Hoshasen Gakkai Zasshi. Nippon Acta Radiologica 48(6): 767-769, 1988