Korean Circ J.  1999 Oct;29(10):1070-1075. 10.4070/kcj.1999.29.10.1070.

Coronary Angioplasty for the Total Occlusion Using a New Hydrophilic Guidewire, Crosswire (TM)

• Kim NH
• Jeong MH
• Kim IS
• Lee SU
• Kim KH
• Kim JW
• Kim SH
• Cho JH
• Ahn YK
• Cho JG
• Park JC
• Kang JC

• KMID: 2093719
• DOI: http://doi.org/10.4070/kcj.1999.29.10.1070

Abstract

BACKGROUND AND OBJECTIVES: Coronary angioplasty of total occlusion is associated with low primary success rate. The most common reason for failure is the inability to cross the lesion with a guidewire. The new nitinol wire consists of an extraordinary flexible nitinol core, a platinum/iridium coil at the distal tip, and a polymer hydrophilic coating providing the wire with an extremely slippery surface after moistening.
METHODS
AND MATERIALS: We analyzed the angiographic results in 117 patients (86 M, 31 F, 58.5+/-11.7 year), who underwent angioplasty for total occlusion with Crosswire (TM) at Chonnam University Hospital between Oct '97 and Apr '99. Clinical diagnosis was acute myocardial infarction (MI) in 61, old MI in 16, unstable angina in 23, and stable angina in 17 patients.
RESULTS
Target coronary arteries were 51 left anterior descending arteries (LAD), 13 left circumflex arteries (LCX) and 53 right coronary arteries (RCA). Lesion morphology was 40 abrupt and 77 tapered lesions, and collateral circulation was observed in 75 cases. The success rate was 80.3% (94/117). The reasons of procedural failure were failure to cross the lesion using wire in 8 and balloon in 6 cases. In the failed cases, clinical diagnosis was acute MI in 10, unstable angina in 8 and stable angina in 5, and target artery was 11 LAD, 2 LCX and 10 RCA, and collateral circulation was observed in 20. In 56 cases of chronic total occlusion, the success rate was 76.8% (43/56) and the reasons of procedural failure were failure to cross the lesion using wire in 6 and balloon in 2 cases. No major cardiac events were developed. There was no predictive factor for the procedural failure with Crosswire (TM) for total occlusion.
CONCLUSIONS
A new nitinol wire, Crosswire (TM) was an effective tool for the recanalization of total occlusive coronary artery.

Keyword

Coronary artery disease; Total occlusion; Guide wire; Crosswire(TM)

MeSH Terms

Angina, Stable
Angina, Unstable
Angioplasty*
Arteries
Collateral Circulation
Coronary Artery Disease
Coronary Vessels
Diagnosis
Humans
Jeollanam-do
Myocardial Infarction
Polymers
Polymers