A case of tortuous calcified LAD CTO treated using a "GAIA" guidewire
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1 A case of tortuous calcified LAD CTO treated using a "GAIA" guidewire Yoshiki Uehara The
2 Case 60 y.o., Male Diagnosis; SMI Coronary risk factors; DM, HT Target lesion; LAD CTO
3 Baseline CAG
4 Baseline CAG
5 Baseline CAG
6 Baseline CAG
7 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr)
8 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) M.C.; Corsair G.W.; Wizard 78
9 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) M.C.; Corsair G.W.; XT-A
10 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) M.C.; Corsair G.W.; XT-A
11 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) M.C.; Corsair G.W.; Gaia First
12
13 Gaia specification/structure/performance Basic structure Total Length 1900mm SLIP COAT coating (Hydro Coating) Length 400mm Coil Length 150mm Gaia First:0.010inch Gaia Second:0.011inch 0.014inch PTFE coating Line-up options allow the operator to choose the appropriate wire for a variety of situations Gaia First Gaia Second Diameter : Tip load :1.5gf Diameter : Tip load :3.5gf Long hydrophilic coating provides smooth manipulation when used in conjunction with a support catheter such as Corsair
14 Gaia specification/structure/performance Basic structure Total Length 1900mm SLIP COAT coating (Hydro Coating) Length 400mm Coil Length 150mm Gaia First:0.010inch Gaia Second:0.011inch 0.014inch PTFE coating Gaia First Gaia Second Straight 15mm 6mm Taper 30mm 30mm
15 Gaia specification/structure/performance Tip Structure ~Composite core Composite core Double coil structure transfer torque force to the distal with keeping flexible tip Round core design to the distal end eliminates the Whip motion phenomenon Ropecoil Extend rope coil through tip Enhance joint strength Improve torque force
16 Gaia specification/structure/performance Tip Structure ~Micro cone-tip Gaia micro-cone tip Lower the ball tip s profile to provide better penetration, allowing the wire to more easily enter hard lesions while keeping a flexible tip Gaia micro-cone tip / Ball tip of general Guide Wire
17 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) M.C.; Corsair G.W.; Gaia First
18 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) M.C.; Corsair G.W.; Gaia First
19 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) M.C.; Corsair G.W.; Gaia First
20 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) M.C.; Corsair G.W.; Gaia First
21 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) M.C.; Corsair G.W.; Gaia First
22 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) M.C.; Corsair G.W.; Gaia First
23 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) M.C.; Tornus Pro G.W.; Gaia First
24 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) M.C.; Tornus Pro G.W.; Gaia First
25 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) M.C.; Tornus Pro G.W.; Gaia First
26 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr)
27 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) B.C.; Tazuna 2.0mm
28 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) B.C.; Ikazuchi Rev 2.5mm
29 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr)
30 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) Stent; R-ZES mm
31 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) Stent; R-ZES mm
32 PCI for calcified LAD CTO Rt Brachial Approach G.C.; EBU3.75SH (7Fr) Stent; R-ZES mm
33 Final Angiogram PCI for calcified LAD CTO
34 Final Angiogram PCI for calcified LAD CTO
35 Final Angiogram PCI for calcified LAD CTO
36 Summary The CTO in the tortuous calcified LAD was treated. The tapered hydrophilic guidewires were unable to cross the CTO. The Gaia First guidewire was able to penetrate and trace the tortuous calcified CTO lesion.
37 Tapered hydrophilic guidewire Let the wire go as wire wish. When the wire go wrong way, an operator have to stop the wire from moving forward any more.
38 "GAIA" guidewire Make the wire go as operator wish. The operator should identify a proper route inside the CTO.
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46 Thank you for your attention.
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