RT Journal Article
T1 Structural Damage of Jailed Guidewire During the Treatment of Coronary Bifurcation Lesions: A Microscopic Randomized Trial.
A1 Pan, Manuel
A1 Ojeda, Soledad
A1 Villanueva, Elena
A1 Chavarria, Jorge
A1 Romero, Miguel
A1 Suarez de Lezo, Javier
A1 Mazuelos, Francisco
A1 Segura, Jose
A1 Carrasco, Francisco
A1 Hidalgo, Francisco
A1 Lopez Aguilera, Jose
A1 Rodriguez, Sara
A1 Puente, Miguel
A1 Suarez de Lezo, Jose
K1 Bifurcation lesions
K1 Jailed wire technique
K1 Provisional stenting
AB The study sought to compare the safety (resistance to damage) and efficacy (ability to cross the side branch) of polymer-coated and non-polymer-coated guidewires in the jailed wire technique used during the percutaneous treatment of bifurcation lesions. The jailed wire technique is a useful strategy in the treatment of bifurcation lesions by provisional stenting. However, these wires can be damaged or even be broken during their removal. We performed a randomized study in patients with bifurcation lesions treated by provisional stenting. The jailed wire technique was mandatory, and the types of guidewires, polymer-coated (n = 115) and non-polymer-coated (n = 120), were randomized. After the procedures, the wires were evaluated by stereoscopic microscopy. The induced damage in the wires was classified as follows: no damage, mild, moderate, or severe. The clinical characteristics were similar between patients treated with polymer-coated or non-polymer-coated wires. Polymer-coated wires were significantly (p  Jailed wires during interventional procedures of bifurcation lesions commonly showed microscopic damage. Polymer-coated wires were more resistant to retrieval damage and were more efficient in crossing the side branch ostium than non-polymer-coated wires. (Jailed Wire Technique in the Treatment of Coronary Bifurcations Lesions With Stent: Stereoscopic Microscopy Study; NCT02516891).
PB Elsevier
YR 2016
FD 2016-06-15
LK http://hdl.handle.net/10668/10472
UL http://hdl.handle.net/10668/10472
LA en
NO Pan M, Ojeda S, Villanueva E, Chavarria J, Romero M, Suarez de Lezo J, et al.  Structural Damage of Jailed Guidewire During the Treatment of Coronary Bifurcation Lesions: A Microscopic Randomized Trial. JACC Cardiovasc Interv. 2016 Sep 26;9(18):1917-24
DS RISalud
RD Apr 10, 2025