Performance Assessment of a Radiofrequency Powered Guidewire for Crossing Peripheral Arterial Occlusions Based on Lesion Morphology

Performance Assessment of a Radiofrequency Powered Guidewire for Crossing Peripheral Arterial... Endovascular wires and devices for peripheral arterial disease therapy have evolved greatly, yet failure rates of these procedures remain high. Information on lesion composition may inform device selection to improve the success rates of these procedures. This paper, presents an approach for informed guidewire selection. The objective of this study is to quantitatively assess the performance of a radiofrequency powered guidewire in the crossing of various morphology types of peripheral chronic total occlusions. Samples taken from amputated patient limbs are characterized by magnetic resonance imaging. Using a customized catheter test station, the performance of a radiofrequency powered guidewire in puncturing these lesions is compared to a conventional guidewire, and to itself when not powered. The analysis includes quantitative and statistical comparisons of the puncture forces experienced by the different guidewires in “hard” vs. “soft” lesions as well as qualitative assessment of deflections, buckling and puncture success of the wires. Results indicate that the use of radiofrequency ablation significantly reduces the required puncture force, reduced events of buckling and deflection, and resulted in a significantly higher puncture success rate. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Biomedical Engineering Springer Journals

Performance Assessment of a Radiofrequency Powered Guidewire for Crossing Peripheral Arterial Occlusions Based on Lesion Morphology

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Biomedical Engineering Society
Subject
Biomedicine; Biomedicine, general; Biomedical Engineering; Biological and Medical Physics, Biophysics; Classical Mechanics; Biochemistry, general
ISSN
0090-6964
eISSN
1573-9686
D.O.I.
10.1007/s10439-018-2021-y
Publisher site
See Article on Publisher Site

Abstract

Endovascular wires and devices for peripheral arterial disease therapy have evolved greatly, yet failure rates of these procedures remain high. Information on lesion composition may inform device selection to improve the success rates of these procedures. This paper, presents an approach for informed guidewire selection. The objective of this study is to quantitatively assess the performance of a radiofrequency powered guidewire in the crossing of various morphology types of peripheral chronic total occlusions. Samples taken from amputated patient limbs are characterized by magnetic resonance imaging. Using a customized catheter test station, the performance of a radiofrequency powered guidewire in puncturing these lesions is compared to a conventional guidewire, and to itself when not powered. The analysis includes quantitative and statistical comparisons of the puncture forces experienced by the different guidewires in “hard” vs. “soft” lesions as well as qualitative assessment of deflections, buckling and puncture success of the wires. Results indicate that the use of radiofrequency ablation significantly reduces the required puncture force, reduced events of buckling and deflection, and resulted in a significantly higher puncture success rate.

Journal

Annals of Biomedical Engineering – Springer Journals

Published: Apr 3, 2018

References

  • C. V Ruckley, G. Raab, H. Storkey, and BASIL trial participants. Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre, randomised controlled trial
    Adam, DJ; Beard, JD; Cleveland, T; Bell, J; Bradbury, AW; Forbes, JF; Fowkes, FGR; Gillepsie, I
  • Rutherford’s vascular surgery
    Cronenwett, J; Johnston, K
  • Radiofrequency guide wire recanalization of venous occlusions in patients with malignant superior vena cava syndrome
    Davis, RM; David, E; Pugash, RA; Annamalai, G
  • Algorithms for the reduction of the number of points required to represent a digitized line or its caricature
    Douglas, DH; Peucker, TK
  • Heart disease and stroke statistics—2014 update
    Go, AS
  • Tools of the trade: adjunctive tools for lesion crossing in critical limb ischemia
    Goldsweig, AM; Hasan, F; Mena, C
  • Peripheral arterial disease: morbidity and mortality implications
    Golomb, BA
  • Guidewire stiffness: what’s in a name?
    Harrison, GJ; How, TV; Vallabhaneni, SR; Brennan, JA; Fisher, RK; Naik, JB; McWilliams, RG
  • Outcomes of infrainguinal revascularizations with endovascular first strategy in critical limb ischemia
    Jens, S; Conijn, AP; Frans, FA; Nieuwenhuis, MBB; Met, R; Koelemay, MJW; Legemate, DA; Bipat, S; Reekers, JA
  • An endovascular-first approach to the treatment of critical limb ischemia results in superior limb salvage rates
    Katib, N; Thomas, SD; Lennox, AF; Yang, J-L; Varcoe, RL
  • Pulsed excimer laser versus continuous-wave Nd:YAG laser versus conventional angioplasty of peripheral arterial occlusions: prospective, controlled, randomised trial
    Lammer, J; Pilger, E; Decrinis, M; Quehenberger, F; Klein, GE; Stark, G
  • Chronic total occlusions in peripheral vasculature: techniques and devices
    Murarka, S; Heuser, RR
  • Does use of hydrophilic guidewires significantly improve technical success rates of peripheral PTA?
    Poncyliusz, W; Falkowski, A; Walecka, A
  • Magnetic resonance imaging characteristics of lesions relate to the difficulty of peripheral arterial endovascular procedures
    Roy, TL; Chen, H-J; Dueck, AD; Wright, GA
  • Peripheral endovascular interventions in the era of precision medicine: tying wire, drug, and device selection to plaque morphology
    Roy, T; Dueck, AD; Wright, GA
  • MRI characterization of peripheral arterial chronic total occlusions at 7 Tesla with microCT and histologic validation
    Roy, T; Liu, G; Qi, X; Dueck, A; Wright, GA
  • Magnetic resonance imaging as a predictor of forces required to cross peripheral arterial lesions with a guidewire
    Roy, T; Liu, G; Shaikh, N; Dueck, AD; Wright, GA
  • Puncturing plaques: relating MRI characteristics of peripheral artery lesions to guidewire puncture forces
    Roy, T; Liu, G; Shaikh, N; Dueck, AD; Wright, GA
  • Systematic evaluation of hybrid guidewires: shaft stiffness, lubricity, and tip configuration
    Sarkissian, C; Korman, E; Hendlin, K; Monga, M
  • Mechanical properties of Seldinger guidewires
    Schummer, W; Trommer, S; Kleemann, F; Schummer, C
  • An overview of optimal endovascular strategy in treating the femoropopliteal artery: mechanical, biological, and procedural factors
    Shammas, N
  • Successful recanalization of a longstanding right common iliac artery occlusion with a radiofrequency guidewire
    Tapping, CR; Uri, IF; Dixon, S; Bratby, MJ; Anthony, S; Uberoi, R
  • Percutaneous recanalization of iliac artery occlusions by radiofrequency perforation: initial experience
    Tingerides, C; Annamalai, G; Comin, JM; Kaduri, S; Pugash, R; David, E
  • Hydrophilic guidewires: evaluation and comparison of their properties and safety
    Torricelli, FCM; De, S; Sarkissian, C; Monga, M
  • Endovascular therapies for peripheral arterial disease
    White, CJ; Gray, WA

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