Related Experiment Video
Updated: Jan 2, 2026
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
789
The Deep-Wire Crossing Technique: A Novel Method for Treating Balloon-Uncrossable Lesions
Dmitrii Khelimskii1, Aram Badoyan, Oleg Krestyaninov
1Meshalkin National Medical Research Center, Ministry of Health of Russian Federation, Division of Invasive Cardiology, 15 Rechkunovskaya Street, Novosibirsk, Russia 630055. dkhelim@mail.ru.
The Journal of Invasive Cardiology
|December 2, 2019
Summary
The deep-wire crossing (DWC) technique offers a viable solution for challenging balloon-uncrossable lesions. This study shows promising procedural success rates and manageable adverse events for this innovative approach.
Area of Science:
- Interventional Cardiology
- Vascular Access Techniques
- Coronary Artery Disease Management
Background:
- Inability to cross lesions with a balloon catheter is a significant cause of technical failure in interventional procedures.
- The deep-wire crossing (DWC) technique is a novel method developed to address balloon-uncrossable lesions.
Purpose of the Study:
- To evaluate the procedural outcomes and efficacy of the deep-wire crossing (DWC) technique.
- To assess the safety and success rates of DWC for treating balloon-uncrossable coronary lesions.
Main Methods:
- A total of 95 patients with balloon-uncrossable lesions were treated using the DWC technique between 2017 and 2018.
- Procedural success, in-hospital outcomes, and major adverse cardiac events were assessed.
Main Results:
- Overall technical success was 88.4%, with successful DWC technique achieved in 77.9% of cases.
- The left circumflex artery was the most common target vessel (46.3%). Lesions were complex, with 41% classified as type C.
- The in-hospital major adverse cardiac event rate was 3.2%, with low rates of complications like coronary perforation and myocardial infarction.
Conclusions:
- The deep-wire crossing (DWC) technique is a viable and effective option for treating balloon-uncrossable lesions.
- Interventional cardiologists should consider and become familiar with the DWC technique for improved procedural success in complex cases.
