title: A technique utilizing a steerable hydrophilic guidewire for permanent pacemaker implantation.
abstract: We report the use of a steerable hydrophilic guidewire for permanent pacemaker implantation. This wire, previously used for peripheral vascular and cardiac angiography, is able to be steered and passed in many situations when a standard guidewire cannot be used. We report three cases where the standard J-tipped guidewire could not be passed by either the cephalic or subclavian route and the hydrophilic guidewire allowed for successful atraumatic placement of a sheath and pacemaker lead.
authors.affiliation: Midwest Cardiovascular Institute, Midwest Heart Research Foundation, Lombard.
authors.forename: N J
authors.initials: NJ
authors.lastname: Stamato
authors.forename: M F
authors.initials: MF
authors.lastname: O'Toole
authors.forename: E
authors.initials: E
authors.lastname: Valguisti
authors.forename: E L
authors.initials: EL
authors.lastname: Enger
mesh_terms: D000328:Adult; D000368:Aged; D002404:Catheterization / Q000295:instrumentation; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010138:Pacemaker, Artificial