Abstract
Stabbing Wire Technique as a Novel Conventional Initial Strategy for Percutaneous Coronary Intervention of Chronic Total Occlusion
Highlights
chronic total occlusion (CTO) procedures typically require greater resource, time and utilization, because of the greater complexity of having to cross
There were no significant differences in terms of age, sex, and classical risk factors
Stabbing wire technique offered higher ante grade revascularization success rates The results of the current study revealed that Stabbing wire technique as Conventional Initial Strategy offered higher success rate of ante-grate CTO re-canalization and re- vascularization compared to the other wire techniques strategies
Summary
CTO procedures typically require greater resource, time and utilization, because of the greater complexity of having to cross. Medium support wire, direct it to the culprit artery, and reach the site of total occlusion. B) If the total occlusion site has a stump or a nipple, insert the wire into the nipple. C) If the total occlusion site shows a blunt end choose center of the occlusion in 2 perpendicular views and insert the wire to be locked inside the lesion. D) If the total occlusion is at a bifurcation site insert the wire to be wedged in between the two bifurcating vessels until you feel resistance. E) Hold the wire firmly 2cm outside the Y connector and push the wire in the total occlusion like a stab or a pistol shot, and if fails u can straighten the distal end of the wire by 1.0mm balloon or a micro catheter and stab it again
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