Key result
A simplified reverse wire technique using a specialized angle tip microcatheter facilitates wiring of extreme angulated side branches without requiring a double-lumen catheter.
Why the study?
Bifurcation lesions with an extreme angulated side branch remain challenging during coronary intervention.
Case Report
A novel simplified reverse wire technique using an angulated microcatheter offers a feasible alternative to double-lumen catheters for wiring extremely angulated side branches in coronary bifurcation lesions.
May simplify bifurcation PCI wiring; leaves open prospective validation before clinical adoption.
Bifurcation lesion with an extreme angulated side branch remains a challenge in coronary intervention. Reverse wire technique was originally described by Dr. Kawasaki and nowadays this can be done by double-lumen catheter. We report a novel "simplified reverse wire technique with a specialized angle tip microcatheter," Supercross microcatheter™ (Teleflex). This can facilitate wiring of extreme angulated side branch by this simple and feasible method without using double lumen catheter.
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Chan et al. (2019) conducted a case report in Bifurcation lesion with an extreme angulated side branch. Simplified reverse wire technique with Supercross microcatheter was evaluated. A simplified reverse wire technique using a specialized angle tip microcatheter facilitates wiring of extreme angulated side branches without requiring a double-lumen catheter.
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