Use of the stiff shaft, straight Terumo Glidewire in crossing stenotic aortic valves
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S K Sharma1, D H Israel, K Kumar
1Division of Cardiology, Mount Sinai Hospital, New York, NY.
Insights
Retrograde crossing of the aortic valve is challenging. The Terumo Glidewire aids passage through difficult arteries, potentially reducing complications in aortic stenosis patients.
Area of Science:
- Interventional Cardiology
- Vascular Access Techniques
Background:
- Aortic stenosis diagnosis involves challenging retrograde aortic valve crossing.
- Elderly and complex patients with severe aortic stenosis face higher procedural risks.
Purpose of the Study:
- To evaluate the utility of the Terumo Glidewire for facilitating retrograde crossing of the aortic valve.
- To assess the potential of the Glidewire in simplifying challenging cardiac catheterization procedures.
Main Methods:
- The Terumo Glidewire was employed to navigate stenotic and tortuous peripheral arteries.
- Case report detailing the application of the Glidewire in a specific clinical scenario.
Main Results:
- The Terumo Glidewire successfully facilitated passage through challenging arterial anatomy.
- The device demonstrated utility in a difficult diagnostic procedure.
Conclusions:
- The Terumo Glidewire is a valuable tool for improving success rates in retrograde aortic valve crossing.
- Utilizing advanced guidewires may mitigate procedural risks and complications in high-risk patients.
Abstract:
One of the more difficult and time-consuming diagnostic procedures in the cardiac catheterization laboratory is retrograde crossing of the severely stenotic aortic valve. Whereas patients with advanced aortic stenosis tend to be complicated and elderly, lengthy procedures can lead to a higher incidence of thrombo-embolic and vascular complications and relatively greater procedural blood loss. This report concerns the use of the Terumo Glidewire to facilitate passage through stenotic and tortuous peripheral arteries.