Knuckle Guidewires to Create Dissections in Chronic Total Occlusion Percutaneous Coronary Intervention: Position Statement
Recommended Citation
Rinfret S, Henry GA, Khatri JJ, Mashayekhi K, Alaswad K, Azzalini L, Ybarra LF, Vijayaraghavan R, Frizzell JD, Avran A, McEntegart MB, Lombardi WL, Grantham JA, and Brilakis E. Knuckle Guidewires to Create Dissections in Chronic Total Occlusion Percutaneous Coronary Intervention: Position Statement. JACC Cardiovasc Interv 2024; 17(20):2411-2424.
Document Type
Article
Publication Date
10-28-2024
Publication Title
JACC Cardiovasc Interv
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.
Medical Subject Headings
Humans; Cardiac Catheters; Chronic Disease; Consensus; Coronary Occlusion; Equipment Design; Percutaneous Coronary Intervention; Risk Factors; Stents; Treatment Outcome
PubMed ID
39477645
Volume
17
Issue
20
First Page
2411
Last Page
2424
