Tip Detection–Antegrade Dissection and Re-Entry With New Puncture Wire in CTO Intervention: Revolution Through 3D-Wiring

Kota Tanaka; Atsunori Okamura; Ryouhei Yoshikawa; Etsuo Tsuchikane; Masato Ishikawa; Satoshi Suzuki; Hiroyuki Nagai; Akinori Sumiyoshi; Masatsugu Kawahira; Tomohiro Yamasaki; Hiroaki Matsuda; Mutsumi Iwamoto; Satoshi Watanabe; Keita Yamasaki; Nobuaki Tanaka; Yasushi Koyama; Yoshitaka Iwanaga; Heitaro Watanabe

doi:10.1016/j.jacasi.2023.11.017

Tip Detection–Antegrade Dissection and Re-Entry With New Puncture Wire in CTO Intervention: Revolution Through 3D-Wiring

Kota Tanaka
, Atsunori Okamura
, Ryouhei Yoshikawa
, Etsuo Tsuchikane
, Masato Ishikawa
, Satoshi Suzuki
, Hiroyuki Nagai
, Akinori Sumiyoshi
, Masatsugu Kawahira
, Tomohiro Yamasaki
, Hiroaki Matsuda
, Mutsumi Iwamoto
, Satoshi Watanabe
, Keita Yamasaki
, Nobuaki Tanaka
, Yasushi Koyama
, Yoshitaka Iwanaga
, Heitaro Watanabe

Division of Cardiology

Research output: Contribution to journal › Article › peer-review

34 Citations (Scopus)

Abstract

Background: The authors devised the tip detection (TD) method and developed AnteOwl WR intravascular ultrasound to standardize intravascular ultrasound–based 3-dimensional wiring for intraplaque tracking in chronic total occlusion (CTO)–percutaneous coronary intervention (PCI). The TD method also allowed antegrade dissection and re-entry (ADR). Combining TD-ADR with Conquest Pro 12 Sharpened Tip (CP12ST) wire, a new ADR wire with the strongest penetration force developed to date, enabled re-entry anywhere except calcification sites. Objectives: This study investigated the efficacy and feasibility of TD-ADR by comparison of procedural outcomes with Stingray-ADR in CTO-PCI. Methods: Twenty-seven consecutive CTO cases treated by TD-ADR with CP12ST wire between August 2021 and April 2023 and 27 consecutive CTO cases treated by Stingray-ADR with Conquest 8-20 (CP20) wire between March 2018 and July 2021 were retrospectively enrolled as the TD-ADR by CP12ST wire group and Stingray-ADR by CP20 wire group, respectively, from 4 facilities that could share technical information on these procedures. Results: The success rate of the ADR procedure was significantly improved (27 of 27 cases [100%] vs 18 of 27 cases [67%], respectively; P = 0.002) and total procedural time was significantly reduced (median procedural time: 145.0 [Q1-Q3: 118.0-240.0] minutes vs 185.0 [Q1-Q3: 159.5-248.0] minutes, respectively; P = 0.028) in the TD-ADR by CP12ST wire group compared to the Stingray-ADR by CP20 wire group. There were few in-hospital major adverse cardiac and cerebrovascular events or no complications in either group. Conclusions: TD-ADR by CP12ST wire can standardize highly accurate ADR in CTO-PCI.

Original language	English
Pages (from-to)	359-372
Number of pages	14
Journal	JACC: Asia
Volume	4
Issue number	5
DOIs	https://doi.org/10.1016/j.jacasi.2023.11.017
Publication status	Published - 05-2024

All Science Journal Classification (ASJC) codes

Cardiology and Cardiovascular Medicine

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10.1016/j.jacasi.2023.11.017

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Tanaka, K., Okamura, A., Yoshikawa, R., Tsuchikane, E., Ishikawa, M., Suzuki, S., Nagai, H., Sumiyoshi, A., Kawahira, M., Yamasaki, T., Matsuda, H., Iwamoto, M., Watanabe, S., Yamasaki, K., Tanaka, N., Koyama, Y., Iwanaga, Y., & Watanabe, H. (2024). Tip Detection–Antegrade Dissection and Re-Entry With New Puncture Wire in CTO Intervention: Revolution Through 3D-Wiring. JACC: Asia, 4(5), 359-372. https://doi.org/10.1016/j.jacasi.2023.11.017

@article{67b7640695224511a76fa04f5b147c05,

title = "Tip Detection{\textendash}Antegrade Dissection and Re-Entry With New Puncture Wire in CTO Intervention: Revolution Through 3D-Wiring",

abstract = "Background: The authors devised the tip detection (TD) method and developed AnteOwl WR intravascular ultrasound to standardize intravascular ultrasound{\textendash}based 3-dimensional wiring for intraplaque tracking in chronic total occlusion (CTO){\textendash}percutaneous coronary intervention (PCI). The TD method also allowed antegrade dissection and re-entry (ADR). Combining TD-ADR with Conquest Pro 12 Sharpened Tip (CP12ST) wire, a new ADR wire with the strongest penetration force developed to date, enabled re-entry anywhere except calcification sites. Objectives: This study investigated the efficacy and feasibility of TD-ADR by comparison of procedural outcomes with Stingray-ADR in CTO-PCI. Methods: Twenty-seven consecutive CTO cases treated by TD-ADR with CP12ST wire between August 2021 and April 2023 and 27 consecutive CTO cases treated by Stingray-ADR with Conquest 8-20 (CP20) wire between March 2018 and July 2021 were retrospectively enrolled as the TD-ADR by CP12ST wire group and Stingray-ADR by CP20 wire group, respectively, from 4 facilities that could share technical information on these procedures. Results: The success rate of the ADR procedure was significantly improved (27 of 27 cases [100\%] vs 18 of 27 cases [67\%], respectively; P = 0.002) and total procedural time was significantly reduced (median procedural time: 145.0 [Q1-Q3: 118.0-240.0] minutes vs 185.0 [Q1-Q3: 159.5-248.0] minutes, respectively; P = 0.028) in the TD-ADR by CP12ST wire group compared to the Stingray-ADR by CP20 wire group. There were few in-hospital major adverse cardiac and cerebrovascular events or no complications in either group. Conclusions: TD-ADR by CP12ST wire can standardize highly accurate ADR in CTO-PCI.",

keywords = "IVUS-based 3D wiring, antegrade dissection re-entry, chronic total occlusion, coronary intervention, tip detection method",

author = "Kota Tanaka and Atsunori Okamura and Ryouhei Yoshikawa and Etsuo Tsuchikane and Masato Ishikawa and Satoshi Suzuki and Hiroyuki Nagai and Akinori Sumiyoshi and Masatsugu Kawahira and Tomohiro Yamasaki and Hiroaki Matsuda and Mutsumi Iwamoto and Satoshi Watanabe and Keita Yamasaki and Nobuaki Tanaka and Yasushi Koyama and Yoshitaka Iwanaga and Heitaro Watanabe",

note = "Publisher Copyright: {\textcopyright} 2024 The Authors",

year = "2024",

month = may,

doi = "10.1016/j.jacasi.2023.11.017",

language = "English",

volume = "4",

pages = "359--372",

journal = "JACC: Asia",

issn = "2772-3747",

publisher = "Elsevier Inc.",

number = "5",

}

Tanaka, K, Okamura, A, Yoshikawa, R, Tsuchikane, E, Ishikawa, M, Suzuki, S, Nagai, H, Sumiyoshi, A, Kawahira, M, Yamasaki, T, Matsuda, H, Iwamoto, M, Watanabe, S, Yamasaki, K, Tanaka, N, Koyama, Y, Iwanaga, Y & Watanabe, H 2024, 'Tip Detection–Antegrade Dissection and Re-Entry With New Puncture Wire in CTO Intervention: Revolution Through 3D-Wiring', JACC: Asia, vol. 4, no. 5, pp. 359-372. https://doi.org/10.1016/j.jacasi.2023.11.017

TY - JOUR

T1 - Tip Detection–Antegrade Dissection and Re-Entry With New Puncture Wire in CTO Intervention

T2 - Revolution Through 3D-Wiring

AU - Tanaka, Kota

AU - Okamura, Atsunori

AU - Yoshikawa, Ryouhei

AU - Tsuchikane, Etsuo

AU - Ishikawa, Masato

AU - Suzuki, Satoshi

AU - Nagai, Hiroyuki

AU - Sumiyoshi, Akinori

AU - Kawahira, Masatsugu

AU - Yamasaki, Tomohiro

AU - Matsuda, Hiroaki

AU - Iwamoto, Mutsumi

AU - Watanabe, Satoshi

AU - Yamasaki, Keita

AU - Tanaka, Nobuaki

AU - Koyama, Yasushi

AU - Iwanaga, Yoshitaka

AU - Watanabe, Heitaro

PY - 2024/5

Y1 - 2024/5

N2 - Background: The authors devised the tip detection (TD) method and developed AnteOwl WR intravascular ultrasound to standardize intravascular ultrasound–based 3-dimensional wiring for intraplaque tracking in chronic total occlusion (CTO)–percutaneous coronary intervention (PCI). The TD method also allowed antegrade dissection and re-entry (ADR). Combining TD-ADR with Conquest Pro 12 Sharpened Tip (CP12ST) wire, a new ADR wire with the strongest penetration force developed to date, enabled re-entry anywhere except calcification sites. Objectives: This study investigated the efficacy and feasibility of TD-ADR by comparison of procedural outcomes with Stingray-ADR in CTO-PCI. Methods: Twenty-seven consecutive CTO cases treated by TD-ADR with CP12ST wire between August 2021 and April 2023 and 27 consecutive CTO cases treated by Stingray-ADR with Conquest 8-20 (CP20) wire between March 2018 and July 2021 were retrospectively enrolled as the TD-ADR by CP12ST wire group and Stingray-ADR by CP20 wire group, respectively, from 4 facilities that could share technical information on these procedures. Results: The success rate of the ADR procedure was significantly improved (27 of 27 cases [100%] vs 18 of 27 cases [67%], respectively; P = 0.002) and total procedural time was significantly reduced (median procedural time: 145.0 [Q1-Q3: 118.0-240.0] minutes vs 185.0 [Q1-Q3: 159.5-248.0] minutes, respectively; P = 0.028) in the TD-ADR by CP12ST wire group compared to the Stingray-ADR by CP20 wire group. There were few in-hospital major adverse cardiac and cerebrovascular events or no complications in either group. Conclusions: TD-ADR by CP12ST wire can standardize highly accurate ADR in CTO-PCI.

AB - Background: The authors devised the tip detection (TD) method and developed AnteOwl WR intravascular ultrasound to standardize intravascular ultrasound–based 3-dimensional wiring for intraplaque tracking in chronic total occlusion (CTO)–percutaneous coronary intervention (PCI). The TD method also allowed antegrade dissection and re-entry (ADR). Combining TD-ADR with Conquest Pro 12 Sharpened Tip (CP12ST) wire, a new ADR wire with the strongest penetration force developed to date, enabled re-entry anywhere except calcification sites. Objectives: This study investigated the efficacy and feasibility of TD-ADR by comparison of procedural outcomes with Stingray-ADR in CTO-PCI. Methods: Twenty-seven consecutive CTO cases treated by TD-ADR with CP12ST wire between August 2021 and April 2023 and 27 consecutive CTO cases treated by Stingray-ADR with Conquest 8-20 (CP20) wire between March 2018 and July 2021 were retrospectively enrolled as the TD-ADR by CP12ST wire group and Stingray-ADR by CP20 wire group, respectively, from 4 facilities that could share technical information on these procedures. Results: The success rate of the ADR procedure was significantly improved (27 of 27 cases [100%] vs 18 of 27 cases [67%], respectively; P = 0.002) and total procedural time was significantly reduced (median procedural time: 145.0 [Q1-Q3: 118.0-240.0] minutes vs 185.0 [Q1-Q3: 159.5-248.0] minutes, respectively; P = 0.028) in the TD-ADR by CP12ST wire group compared to the Stingray-ADR by CP20 wire group. There were few in-hospital major adverse cardiac and cerebrovascular events or no complications in either group. Conclusions: TD-ADR by CP12ST wire can standardize highly accurate ADR in CTO-PCI.

KW - IVUS-based 3D wiring

KW - antegrade dissection re-entry

KW - chronic total occlusion

KW - coronary intervention

KW - tip detection method

UR - https://www.scopus.com/pages/publications/85187646066

UR - https://www.scopus.com/pages/publications/85187646066#tab=citedBy

U2 - 10.1016/j.jacasi.2023.11.017

DO - 10.1016/j.jacasi.2023.11.017

M3 - Article

AN - SCOPUS:85187646066

SN - 2772-3747

VL - 4

SP - 359

EP - 372

JO - JACC: Asia

JF - JACC: Asia

IS - 5

ER -

Tip Detection–Antegrade Dissection and Re-Entry With New Puncture Wire in CTO Intervention: Revolution Through 3D-Wiring

Abstract

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