Chronic total occlusion treated with coronary intervention by three-dimensional guidewire manipulation: an experimental study and clinical experience

Cardiovasc Interv Ther. 2016 Jul;31(3):238-44. doi: 10.1007/s12928-015-0339-z. Epub 2015 Jun 26.

Abstract

Three-dimensional (3D) wiring is one method for accurate guidewire control in chronic total occlusion (CTO) lesions during manipulation of CTO-specific stiff guidewires. However, the construction of a mental 3D image is difficult. We propose the idea of image patterns to allow immediate construction of 3D images from the two perpendicular angles of the X-ray system detector and report a case of CTO treated with 3D wiring.

Keywords: 3D wiring; CTO-specific stiff guidewires; Chronic total occlusion.

Publication types

  • Case Reports

MeSH terms

  • Chronic Disease
  • Coronary Angiography / methods*
  • Coronary Occlusion / diagnosis
  • Coronary Occlusion / surgery*
  • Coronary Vessels / diagnostic imaging*
  • Coronary Vessels / surgery
  • Humans
  • Imaging, Three-Dimensional*
  • Male
  • Middle Aged
  • Percutaneous Coronary Intervention / methods*
  • Surgery, Computer-Assisted / methods*