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Intentional Intimal Tracking Via a 6-F Guiding Catheter Using a Novel Puncture Wire: The Solo Technique
Hang Liu1, Dunliang Ma2, Zehan Huang2
1Department of Cardiology, The Second Affiliated Hospital of Zhengzhou University, The Second Clinical Medical School of Zhengzhou University, Zhengzhou, Henan, China.
JACC. Case Reports
|April 16, 2026
Summary
This study introduces the solo technique for challenging percutaneous coronary interventions. It uses intravascular ultrasound (IVUS) guidance for precise guidewire manipulation, improving outcomes in complex cases.
Area of Science:
- Cardiovascular Interventions
- Interventional Cardiology
- Medical Device Technology
Background:
- Percutaneous coronary interventions (PCI) can be challenging, especially for chronic total occlusions (CTO).
- Existing techniques may have limitations in guidewire manipulation and re-entry within complex coronary anatomy.
- Intravascular ultrasound (IVUS) offers real-time visualization crucial for complex PCI procedures.

