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Nuevo uso del alambre guía de radiofrecuencia en la modificación del folleto: los procedimientos BABICORN y ROBIN

Ryan Cooney¹, Sneha Vakamudi¹, Joshua Grimm²

¹Department of Cardiovascular Medicine, Ascension Seton Medical Center, Austin, Texas, USA.

JACC. Case reports

|February 10, 2026

Resumen

El cable guía Baylis PowerWire Pro ofrece un nuevo enfoque para la modificación del prospecto en las intervenciones de válvulas transcatéter. Esta técnica ayuda a evitar obstrucciones y demuestra ventajas sobre los métodos existentes para el recorrido de folletos.

Área de la Ciencia:

Intervenciones cardiovasculares Las intervenciones cardiovasculares.
Tecnología de Dispositivo Médico Tecnología de Dispositivo Médico

Sus antecedentes:

La modificación del prospecto es crucial en las intervenciones de válvula transcatéter para evitar complicaciones como la obstrucción de la arteria coronaria.
Los cables guía existentes pueden presentar desafíos en la travesía del prospecto y la entrega del catéter.

Objetivo del estudio:

Para presentar una nueva técnica que utiliza el cable guía PowerWire Pro para la modificación de folletos.
Para ilustrar la aplicación exitosa de esta guía en dos casos clínicos.

Principales métodos:

Determinación del ángulo óptimo para la travesía del folleto.
Posicionando el cable guía PowerWire Pro en la base del folleto.
Utilizando el alambre guía con electrocautería para la travesía.
Realización de dilataciones de globos en serie para la perforación.

Principales resultados:

Se logró una travesía exitosa del folleto en dos casos utilizando el PowerWire Pro.
La técnica demostró la viabilidad de la modificación del prospecto durante los procedimientos transcatéter.

Conclusiones:

El cable guía Baylis PowerWire Pro representa una nueva opción para la modificación de folletos.
Las ventajas potenciales incluyen intercambios de equipos reducidos y un mayor apoyo para la administración de catéteres.
La capacidad de empuje del alambre guía puede facilitar una travesía más fácil del folleto en comparación con otros alambres.

Palabras clave:

La válvula aórtica es la válvula aórtica.La ecocardiografía es una ecocardiografía.Reparación de válvulas.reemplazo de la válvula de reemplazo de válvula.

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