A novel initial wiring technique for chronic total occlusion of the superficial femoral artery using the structural features of a polymer jacket guidewire
Abstract Background To evaluate the efficacy of the GLadIus MG drilLINg technique (GLIMGLIN), a novel initial wiring technique using the Gladius MG™ structural features, for crossing the superficial femoral artery (SFA) with chronic total occlusion (CTO). Methods This retrospective, single-center st...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-07-01
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| Series: | CVIR Endovascular |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42155-022-00313-2 |
| _version_ | 1817968685887782912 |
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| author | Eiji Karashima Yoshimitsu Soga Takeshi Arima Hirotaka Noda Shioto Yasuda Takeo Kaneko |
| author_facet | Eiji Karashima Yoshimitsu Soga Takeshi Arima Hirotaka Noda Shioto Yasuda Takeo Kaneko |
| author_sort | Eiji Karashima |
| collection | DOAJ |
| description | Abstract Background To evaluate the efficacy of the GLadIus MG drilLINg technique (GLIMGLIN), a novel initial wiring technique using the Gladius MG™ structural features, for crossing the superficial femoral artery (SFA) with chronic total occlusion (CTO). Methods This retrospective, single-center study enrolled 27 symptomatic patients (mean age 77.4 ± 8.5 years; 20 men) with de novo SFA CTO (mean CTO length 16.1 ± 8.9 cm) who underwent GLIMGLIN as the initial wiring between January 2020 and December 2021. The success of GLIMGLIN was defined when the wire crossing was completed using a Gladius MG™ and a microcatheter without any additional devices and techniques. Results The success rate of GLIMGLIN was 48.1%. Intravascular ultrasound findings showed complete true lumen passage in the GLIMGLIN success group. Compared to the failure group, the proximal (6.3 ± 0.8 vs. 5.5 ± 0.9 mm, p = 0.02) and distal (5.9 ± 0.5 vs. 5.4 ± 0.6 mm, p = 0.02) reference vessel diameters were significantly larger, and the rate of calcium angle > 180° was significantly lower (30.8 vs. 71.4%, p = 0.04) in the success group. No significant difference was shown in the CTO length between two groups. Total wiring time, total procedure time, and fluoroscopic time were significantly shorter in the success group. Conclusions GLIMGLIN may enable operators to perform CTO wiring easily and efficiently in selected cases. |
| first_indexed | 2024-04-13T20:11:37Z |
| format | Article |
| id | doaj.art-25587addf7fa41e29ff9b349fadc7283 |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-04-13T20:11:37Z |
| publishDate | 2022-07-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-25587addf7fa41e29ff9b349fadc72832022-12-22T02:31:50ZengSpringerOpenCVIR Endovascular2520-89342022-07-01511910.1186/s42155-022-00313-2A novel initial wiring technique for chronic total occlusion of the superficial femoral artery using the structural features of a polymer jacket guidewireEiji Karashima0Yoshimitsu Soga1Takeshi Arima2Hirotaka Noda3Shioto Yasuda4Takeo Kaneko5Department of Cardiology, Shimonoseki City HospitalDepartment of Cardiology, Kokura Memorial HospitalDepartment of Cardiology, Shimonoseki City HospitalDepartment of Cardiology, Shimonoseki City HospitalDepartment of Cardiology, Shimonoseki City HospitalDepartment of Cardiology, Shimonoseki City HospitalAbstract Background To evaluate the efficacy of the GLadIus MG drilLINg technique (GLIMGLIN), a novel initial wiring technique using the Gladius MG™ structural features, for crossing the superficial femoral artery (SFA) with chronic total occlusion (CTO). Methods This retrospective, single-center study enrolled 27 symptomatic patients (mean age 77.4 ± 8.5 years; 20 men) with de novo SFA CTO (mean CTO length 16.1 ± 8.9 cm) who underwent GLIMGLIN as the initial wiring between January 2020 and December 2021. The success of GLIMGLIN was defined when the wire crossing was completed using a Gladius MG™ and a microcatheter without any additional devices and techniques. Results The success rate of GLIMGLIN was 48.1%. Intravascular ultrasound findings showed complete true lumen passage in the GLIMGLIN success group. Compared to the failure group, the proximal (6.3 ± 0.8 vs. 5.5 ± 0.9 mm, p = 0.02) and distal (5.9 ± 0.5 vs. 5.4 ± 0.6 mm, p = 0.02) reference vessel diameters were significantly larger, and the rate of calcium angle > 180° was significantly lower (30.8 vs. 71.4%, p = 0.04) in the success group. No significant difference was shown in the CTO length between two groups. Total wiring time, total procedure time, and fluoroscopic time were significantly shorter in the success group. Conclusions GLIMGLIN may enable operators to perform CTO wiring easily and efficiently in selected cases.https://doi.org/10.1186/s42155-022-00313-2Chronic total occlusionEndovascular therapyFemoropopliteal artery diseasePeripheral arterial disease |
| spellingShingle | Eiji Karashima Yoshimitsu Soga Takeshi Arima Hirotaka Noda Shioto Yasuda Takeo Kaneko A novel initial wiring technique for chronic total occlusion of the superficial femoral artery using the structural features of a polymer jacket guidewire CVIR Endovascular Chronic total occlusion Endovascular therapy Femoropopliteal artery disease Peripheral arterial disease |
| title | A novel initial wiring technique for chronic total occlusion of the superficial femoral artery using the structural features of a polymer jacket guidewire |
| title_full | A novel initial wiring technique for chronic total occlusion of the superficial femoral artery using the structural features of a polymer jacket guidewire |
| title_fullStr | A novel initial wiring technique for chronic total occlusion of the superficial femoral artery using the structural features of a polymer jacket guidewire |
| title_full_unstemmed | A novel initial wiring technique for chronic total occlusion of the superficial femoral artery using the structural features of a polymer jacket guidewire |
| title_short | A novel initial wiring technique for chronic total occlusion of the superficial femoral artery using the structural features of a polymer jacket guidewire |
| title_sort | novel initial wiring technique for chronic total occlusion of the superficial femoral artery using the structural features of a polymer jacket guidewire |
| topic | Chronic total occlusion Endovascular therapy Femoropopliteal artery disease Peripheral arterial disease |
| url | https://doi.org/10.1186/s42155-022-00313-2 |
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