Glidewire treatment of resistant coronary occlusions.
Inability to cross the site of occlusion with a guidewire is the most common cause of failed angioplasty. The Glidewire, a kink-resistant, flexible wire with a hydrophilic coating, was applied to 71 (59 total, 12 subtotal) refractory occlusions, resulting in an overall angioplasty success rate of 45%. The Glidewire may improve the success rate for PTCA of total and subtotal occlusions that cannot be crossed with conventional guidewires.
Freed
M
M
Division of Cardiology, William Beaumont Hospital, Royal Oak, Michigan 48073.
Boatman
J E
JE
Siegel
N
N
Safian
R D
RD
Grines
C L
CL
O'Neill
W W
WW
D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D017023:Coronary Angiography; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*