How Long does the Reverse Wire Need?
Po-Ming Ku, MD. 顧博明醫師
Cardiovascular Center, Chi-Mei Hospital, Liuoying.
柳營奇美醫院 心血管中心
Always 3cm?
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Case 1
2014-11 Tainan, Taiwan
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2014-11 Tainan, Taiwan
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RCA-CTO
2014-11 Tainan, Taiwan
11
Reverse wire in LCX-D
(sharp curve, Fielder FC GW)
2014-11 Tainan, Taiwan
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Difficult delivery of Finecross micro-catheter
through sharp curve Fielder FC GW
2014-11 Tainan, Taiwan
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Finecross micro-catheter into OM br
2014-11 Tainan, Taiwan
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DES 3.0/13mm, 14 atm
2014-11 Tainan, Taiwan
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Case 2
2015-10 Penghu, Taiwan
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conventional antegrade wiring
2015-10 Penghu, Taiwan
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1st Reverse Wire: Sion blue GW
2015-10 Tainan, Taiwan
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2015-10 Tainan, Taiwan
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2nd Reverse Wire: Fielder FC GW
2015-10 Tainan, Taiwan
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3rd Reverse Wire: Longer Fielder FC GW
2015-10 Tainan, Taiwan
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Finecross MC advanced into LCX-D
2015-10 Tainan, Taiwan
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final
2015-10 Tainan, Taiwan
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3cm
2015-10 Tainan, Taiwan
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Case 3
2012-7-2
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Miracle 6 GW into diagonal br
Min-trek 1.2/6 mm balloon cross CTO
under 6F Guideliner child catheter support
Side-branch technique
2012-7-2
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Side Branch Technique
CTO
Courtesy of Dr. Katoh, Osamu
2.0/15 mm POBA, 10 atm
2012-11-7
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Crusade micro-catheter for side-branch technique
2012-7-2
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Reverse-wire technique
2012-7-2
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Crusade microcatheter +
round curve-3cm-reverse wire failed to advance into br
2012-7-2
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2012-11-7
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Fielder XT
2012-11-7
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Fielder FC
2012-11-7
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POBA & IVUS
2012-11-7
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CTO
stenting
LAD-D
DES 2.5/24 mm, 6 ~ 12 atm for LAD-D
DES 3.0/18 mm, 16 ~ 24 atm for LAD-P
2012-11-7
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KBT 2.0/15 mm & 2.5/30 mm
2012-11-7
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Final
3Ms F/U
2012-11-7
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Take Home Messages
• 3cm for reverse wire technique is basic.
• Longer for better support.
• Smaller for small branch.
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