title: Magnum wire for angioplasty of total and non-total coronary lesions.
abstract: The magnum wire is a stiff-shaft, blunt-tip wire constructed for recanalisation during angioplasty. Smaller series have demonstrated superior qualities compared to conventional wires. The purpose of this study was to analyze its feasibility in a larger number of procedures. A single centre database analysis identified the use of Magnum wire during 443 procedures accounting for 26% of all angioplasties from October 1992 to February 1995. There were 347 total occlusions and 222 non-total lesions. Technical success was 69% in total and 90% in non-total lesions, whereas angiographic success was 58% and 75%, respectively. Stents were successfully implanted in 48 lesions; in 29 (8%) total occlusions and 19 (9%) non-total lesions. The total occlusion-related complication rate was 1.7%. Acute closure occurred in 4.1% of non-total lesions. In conclusion, Magnum wire is a feasible tool for angioplasty of total occlusions and severe stenoses. It is a cheap, simple and safe method for recanalisation.
authors.affiliation: Department of Medicine, University Hospital, Inselspital, Bern, Switzerland.
authors.forename: P
authors.initials: P
authors.lastname: Gunnes
authors.forename: B J
authors.initials: BJ
authors.lastname: Meyer
authors.forename: B
authors.initials: B
authors.lastname: Kessler
authors.forename: B
authors.initials: B
authors.lastname: Mülhauser
authors.forename: B
authors.initials: B
authors.lastname: Meier
mesh_terms: D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D003327:Coronary Disease / Q000150:complications / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D015607:Stents