GUIDEWIRES AND

MICROCATHETERS FOR
INFRAPOPLITEAL ANGIOPLASTY
-Divyesh Dadhania
Wire design
• Stainless steel is easier to torque and
is more rigid, providing better
columnar support compared to
nitinol, which offers more flexibility
and kink resistance.

• Hybrid wires(e.g BMW) have the

benefit of high-tensile stainless steel
shafts with nitinol tips to impart high
torqueability and columnar shaft
strength with kink-resistant tips.
• Abrupt or short tapers have a
greater tendency to prolapse
compared to long, gradual
tapers.
• A core that does not extend to the
• A core that extends to the tip of
the wire (core to tip) increases the
transmission of force, is more
durable and steerable, improves
tactile feedback, and is ideal for
use in peripheral vessels.
tip (shaping ribbon) is delicate,
flexible, easier to shape, can be
easily prolapsed, and is ideal for
navigating tortuous and distal
anatomy such as the pedal
arteries.
HT Command 14/18-Tip load options of 2.8 g and 3.5 g
Asahi
Abott peripheral
Terumo
Boston scientific-Rubi
Platinum Plus
Thruway wire
V18/14
Victory 14/18
True path crosser cathter
Cook-Approch authority
COOK-Approach CTO-14 wire
Multiple tip loads and lengths and floppy tips lengths
Approach Hydro ST
CXI support cathter
• 2.3,2.6 and 4 fr
• Variable length
• 14 and 18 compatble
Cross cath support catheter

• Different prox and distal

diameter
• 3/1.9, 3.4/2.2, 4.8/3.7 mm
• 14/18 compatible
Road runner
Triforce set 4 Fr catheter
Straight and curved tip
BARD-Seeker Support cathter
• 14/18 compatible.
• unique lesion measurement
capabilities with optimal
pushability and a low tip entry
profile
Medtronic-Trail blazer support cath
• Straight and curved tip
Nitrex microwire
Viance crossing catheter
Phillips
• Quickcross support cathter
• 14/18 compatible
Phoenix guidewire
• Used with phoenix atherectomy
device
Multiple others
• Minnie
• Wingman
• Kitty kat
• Power wire
• Wild cat