Key result
A steerable hydrophilic guidewire allowed for successful atraumatic placement of a sheath and pacemaker lead in 3 cases where a standard J-tipped guidewire failed.
Why the study?
Does a steerable hydrophilic guidewire allow for successful pacemaker lead placement when standard guidewires fail?
Case Report (n=3)
Does a steerable hydrophilic guidewire allow for successful pacemaker lead placement when standard guidewires fail?
A steerable hydrophilic guidewire can be a useful alternative for permanent pacemaker implantation when standard guidewires fail to pass.
Answers are grounded in this paper and cite their sources.
May facilitate difficult pacemaker lead placement; hypothesis-generating case reports require prospective validation before practice change.
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.
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Stamato et al. (1992) conducted a case report in Permanent pacemaker implantation (n=3). Steerable hydrophilic guidewire vs. Standard J-tipped guidewire was evaluated on Successful atraumatic placement of a sheath and pacemaker lead. A steerable hydrophilic guidewire allowed for successful atraumatic placement of a sheath and pacemaker lead in 3 cases where a standard J-tipped guidewire failed.
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