Textbook of Catheter-Based Cardiovascular Interventions pp 1361-1376 | Cite as
Instrumentation: Guidewires for Peripheral Interventions
The guidewire (GW) is probably the most important tool for endovascular treatment of atherosclerotic disease. Indeed, crossing and treatment of a lesion are only possible when the GW has been passed beyond the target lesion. Initially the GW serves to cross the lesion, and then to deliver devices (balloons, stents) across the lesion. Peripheral lower extremity percutaneous arterial revascularization can be achieved using a variety of GWs that may differ in calibre and have a large variety of biomechanical tip and body properties. As the choice of an appropriate GW is critical for the success of arterial angioplasty, knowledge about the properties and performance of different GWs should be well understood by operators, allowing them to tailor the choice of the device to the lesion characteristics and location, as well as to the intended revascularization strategy. Based on general characteristics, we can identify the workhorse, crossing, and position for GWs. In this chapter we describe some of the key characteristics of GWs and their use in different segments of lower extremity arterial revascularizations.
- 3.Ferraresi R, Palena LM, Mauri G, Manzi M. Tips and tricks for a correct-in.endo approach. J Cardiovasc Surg. 2013;54(6):685–711.Google Scholar
- 6.Schmidt A, Bausback Y, Piorkowski M, Werner M, Braunlich S, Ulrich M, Varcoe R, Friedenberger J, Schuster J, Botsios S, Scheinert D. Retrograde recanalization technique for use after failed antegrade angioplasty in chronic femoral artery occlusions. J Endovasc Ther. 2012;19(1):23–9.CrossRefPubMedGoogle Scholar
- 7.Manzi M, Fusaro M, Ceccacci T, Erente G, Dalla Paola L, Brocco E. Clinical results of below-the knee intervention using pedal-plantar loop technique for the revascularization of foot arteries. J Cardiovasc Surg. 2009;50(3):331–7.Google Scholar