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Use of filterwire EX for distal embolic protection during complex percutaneous coronary interventions: four case

Ran Kornowski1, Abid Assali

  • 1Cardiac Catheterization Laboratories, Rabin Medical Center, Petach Tikva, Israel. rkornowski@clalit.org.il

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|February 21, 2003
PubMed

Insights

A new filter-guidewire, FilterWire EX, successfully prevented distal embolization during complex coronary interventions. This novel device protected against myonecrosis in saphenous vein grafts and native arteries.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Devices

Background:

  • Complex percutaneous coronary interventions (PCI) carry risks of distal embolization.
  • Saphenous vein grafts (SVGs) and native coronary arteries can be challenging targets during PCI.
  • Distal embolization can lead to myonecrosis, impacting patient outcomes.

Observation:

  • A novel filter-guidewire (FilterWire EX) was utilized in four complex PCI cases.
  • The device was employed in three cases involving saphenous vein grafts and one native coronary artery.
  • The filter-guidewire was positioned distally to capture embolic material.

Findings:

  • The FilterWire EX demonstrated successful deployment and retrieval in all four cases.
  • No instances of distal embolization or subsequent myonecrosis were observed post-procedure.
  • The device effectively prevented the migration of atherothrombotic debris.

Implications:

  • The FilterWire EX represents a promising tool for preventing distal embolization during complex PCI.
  • This technology may improve procedural safety and reduce the risk of myocardial infarction in high-risk patients.
  • Further investigation is warranted to establish the broad efficacy of this filter-guidewire in diverse PCI scenarios.

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