Table 2.
The CTO wire toolbox
| Tapered, soft (~1) plastic jacketed GW (XT/XT-A/XTR) |
| ➢ Antegrade/Retrograde microchannel/soft plaque probing |
| ➢ Facilitation of quick wiring Dissection Re-entry in abmbigous vessel anatomy/soft plaque (Knuckle wire technique) |
| ➢ Very small and tortuous collateral chanel crossing epicardial and septal(retrograde access) |
| Non-tapered, soft plastic jacketed GW (Fielder FC/Pilot 50/Whisper) |
| ➢ Multi-tasting (Mainly work in the body of the occlusion-getting less fashionable) |
| Non tapered, medium gram force plastic jacketed wire (Pilot 150/200) |
| ➢ Body of the occlusion |
| ➢ Facilitation quick wiring in complex lesions and/or dissection-reentry in ambiguous vessel anatomy |
| Non-tampered, soft, composite core, hydrophilic coated CW (SION) |
| ➢ Multitasking |
| ➢ Access to difficult take-off collaterals |
| ➢ Crossing of non challenging collaterals channels |
| ➢ Subintinal spaces connection and GC engagement in retrograde techniques (CART/XCART) |
| Non-tapered, medium gram force (<6g), non coated, sliding wires (Miracle 3/4.5/6) |
| ➢ Used to be workhorse wires for lesion crossing-tend to be abandoned |
| None-tapered, medium gram force (<6g), hydrophilic coated, sliding wires (Miracle Ultimate) |
| ➢ For lesion crossing (body of the occlusion) in hard but not severely calcified plaques and non tortuous anatomy |
| Tapered, medium gram (<6g), composite core, hydrophilic coated GW (GAIA family) |
| ➢ Are becoming the workhorse wires for lesion crossing (body of the occlusion) in the hard but not severely calcified plaques even in tortuous anatomy |
| ➢ Subintima space connection in Retrograde techniques |
| Tapered and not tapered w-w/o hydrophilic coating, high gram (>9) GW penetration wires (Confianza fm, PROGRESS 200T) |
| ➢ Crossing of severely calcified spots, exchanged to other categories afterwards |
Fielder FC (Asahi Intecc, Japan), Fielder XT (Asahi Intecc, Japan), Fielder XTA (Asahi Intecc, Japan), Fielder XTR (Asahi Intecc, Japan), SION (Asahi Intecc, Japan), Gaia 1st/2nd/3rd (Asahi Intecc, Japan), Miracle 3/4.5/6 (Asahi Intecc, Japan), Miracle Ultimate (Asahi Intecc, Japan), Pilot 50/150/200 (Abbot Vascular, USA), Confianza family (Asahi Intecc, Japan), Whisper (Abbot Vascular, USA), Progress 200 T (Abbot Vascular, USA)