Novel Technique for Rapid and Accurate Insertion of a Microguidewire Tail Into Low-Profile Devices During Endovascular Procedures: The Paper Rail Method
| Autor: | Tomotaka Ohshima, Naoki Matsuo, Shigeru Miyachi, Ryuya Maejima, Reo Kawaguchi, Aichi Niwa, Taiki Isaji, Masakazu Takayasu |
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| Rok vydání: | 2018 |
| Předmět: |
Novel technique
Carotid Artery Diseases Miniaturization Time Factors business.industry Endovascular Procedures Equipment Design Catheter Catheterization Peripheral Medicine Humans Radiology Nuclear Medicine and imaging Surgery Stents Endovascular treatment Cardiology and Cardiovascular Medicine business Lighting Vascular Access Devices Biomedical engineering |
| Zdroj: | Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists. 25(5) |
| ISSN: | 1545-1550 |
| Popis: | Purpose: To report a novel technique (“paper rail”) to facilitate inserting the tail of a microguidewire into the tip of a low-profile device during endovascular procedures. Technique: A sterilized nonwoven fabric tape with a smooth glossy paper backing is used. The tape has several linear folds ideal for a paper rail. Holding each piece of equipment about 5 cm from its respective tip, both the tail of the guidewire and the tip of the catheter are navigated at a 30° angle toward each other in the crease until the guidewire enters the catheter. The paper rail technique was compared with the conventional freehand method under varying luminosities found in an operating room. The paper rail technique was most effective in suboptimal lighting, where the mean time was reduced from 83 seconds with the conventional method to 20 seconds with the paper rail maneuver. The times required to insert the wire with the paper rail method were comparable (~22 seconds) at all light levels. Conclusion: The paper rail method may help improve the speed and accurate insertion of the tail of a microguidewire into the tip of low-profile devices during endovascular procedures. It may be particularly useful for physicians in a low-light environment or trainees. |
| Databáze: | OpenAIRE |
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