Related Experiment Video
Updated: Apr 18, 2026
Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
Published on: May 26, 2015
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.
Objective:
We describe a minimalistic tip detection-intentional intimal tracking technique (the solo technique) using a solo Bingo Reach (BR) wire with real-time intravascular ultrasound (IVUS) guidance through a 6-F guiding catheter.
Key Steps:
The solo technique consists of the following steps: 1) confirmation by IVUS that the initial guidewire is located within the subintimal space; 2) identification and marking of the entry point where the wire penetrates into the false lumen; 3) advancement of the BR wire toward the proximal cap of the chronic total occlusion lesion; 4) controlled rotation of the BR wire with continuous verification of tip orientation under real-time IVUS guidance; and 5) advancement of the wire to achieve successful re-entry into the true lumen.
Potential Pitfalls:
In the absence of a microcatheter, wire displacement may occur during IVUS catheter withdrawal; therefore, meticulous fluoroscopic monitoring is essential.
Take-Home Message:
This combined approach provides an effective bailout strategy using a 6-F guiding catheter, thereby expanding procedural options in challenging percutaneous coronary intervention scenarios.
