TY - JOUR
T1 - The Supportive Guidewire Paradox
T2 - How Extra Support Guidewires May Hinder Equipment Delivery Through Tortuous and Calcified Coronary Lesions
AU - Mahowald, Madeline K.
AU - Chami, Tarek
AU - Brilakis, Emmanouil S.
N1 - Publisher Copyright:
© 2022 Elsevier Inc.
PY - 2023/8
Y1 - 2023/8
N2 - Percutaneous coronary intervention of heavily calcified coronary vessels can be challenging due to difficult equipment delivery and suboptimal stent expansion, leading to worse clinical outcomes. Supportive guidewires are designed to facilitate equipment delivery. We present two cases of heavily calcified and tortuous coronary lesions in which use of support guidewires hindered balloon and stent delivery, possibly by increasing friction between equipment and the wall of the coronary vessel. Equipment delivery was achieved using less supportive workhorse guidewires.
AB - Percutaneous coronary intervention of heavily calcified coronary vessels can be challenging due to difficult equipment delivery and suboptimal stent expansion, leading to worse clinical outcomes. Supportive guidewires are designed to facilitate equipment delivery. We present two cases of heavily calcified and tortuous coronary lesions in which use of support guidewires hindered balloon and stent delivery, possibly by increasing friction between equipment and the wall of the coronary vessel. Equipment delivery was achieved using less supportive workhorse guidewires.
KW - Calcium
KW - Coronary artery disease
KW - Coronary guidewires
KW - Percutaneous coronary intervention
KW - Stent
UR - http://www.scopus.com/inward/record.url?scp=85129967671&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85129967671&partnerID=8YFLogxK
U2 - 10.1016/j.carrev.2022.05.007
DO - 10.1016/j.carrev.2022.05.007
M3 - Article
C2 - 35550866
AN - SCOPUS:85129967671
SN - 1553-8389
VL - 53
SP - S216-S219
JO - Cardiovascular Revascularization Medicine
JF - Cardiovascular Revascularization Medicine
ER -