Product Guide: Chronic Total Occlusion (CTO) Devices
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The following is our Cardiology Today Product Guide for CTO Devices. Cardiology Today offered manufacturers and marketers the opportunity to be listed here in our 2011 Guide. However, appearance does not imply endorsement by the Chief Medical Editor or publisher of Cardiology Today. All of the information was supplied by the manufacturers; please contact them for more information. The editors regret any omissions.
Seeker Crossing Support Catheter
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The Seeker Crossing Support Catheter is manufactured by Bard Peripheral Vascular. It combines lesion measurement capabilities with pushability and a low-tip entry profile. It is able to cross small vessels and tight stenotic lesions, and promotes deliverability and entry in distal lesions and complex vasculature. It features a tapered 0.038-inch tip entry profile. The pushability of the catheter is optimized for improved deliverability, and proprietary hydrophilic coating makes improved crossability in complex stenotic lesions possible. The Seeker Crossing Support Catheter also features 1 cm radiopaque markers that are positioned 1 cm apart for 30 cm, and double markers separate 10 cm and 20 cm segments. The radiopaque tip is 0.5 cm, which differentiates it from the rest of the catheter.
Crosser S6 CTO Recanalization Catheter & Usher Support Catheter
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The Crosser S6 CTO Recanalization Catheter and the Usher Support Catheter are manufactured by Bard Peripheral Vascular and are indicated to facilitate the intraluminal placement of conventional guidewires beyond peripheral artery chronic total occlusions. The Crosser S6 working length is 154 cm and the tip diameter is 0.6 mm. The catheter shaft OD is 1.3 mm and the sheath compatibility is 5F. The working length of the Usher Support Catheter is 130 cm. The inner diameter is 0.07 mm and the outer diameter is 1.8 mm. The sheath compatibility is 7F. The distal taper length is 1 cm, and the distal tip configuration is a straight or angled tip.
PowerWire RF Guidewire
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The PowerWire RF Guidewire is manufactured by Baylis Medical Company in Montreal. In the US, the device is indicated for creating a channel in totally occluded peripheral vessels that are at least 3 mm. It is also indicated for cutting and coagulating soft tissue. The PowerWire RF Guidewire cuts through occlusions using radiofrequency energy, and similar to a traditional guidewire, mechanical force can also be applied. The body outer diameter is 0.035 inches (0.89 mm), and its overall length is 250 cm. The distal floppy section length is 5 cm. The Guidewire features a torqueable, stiff proximal shaft, and a rounded, atraumatic, radiopaque active tip.
Outback LTD Re-Entry Catheter
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The Outback LTD Re-Entry Catheter is manufactured by Cordis Corp., a Johnson & Johnson Company, and is indicated to facilitate placement and positioning of guidewires and catheters within the peripheral vasculature. The catheter enables re-entry of a guidewire from the subintimal space back into the true lumen of the vessel. The working length of the catheter is 120 cm and the wire size is 0.014 inches. The minimum guiding catheter ID is 0.079 inches. The catheter has a low profile that is 6F sheath compatible. It also features L and T markers that help guide the re-entry cannula toward the true lumen. It takes an average of 8 minutes to gain re-entry, which could reduce radiation exposure time and increase procedure volume.
Frontrunner XP CTO Catheter
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The Frontrunner XP CTO Catheter is manufactured by Cordis Corp., a Johnson & Johnson Company. The Frontrunner XP CTO catheter is indicated to facilitate the intraluminal placement of conventional guidewires beyond stenotic lesions in the peripheral vasculature before further percutaneous intervention. It enables controlled crossing of chronic total occlusions, using blunt microdissection to create a channel through the occlusion to facilitate wire placement. The catheter has a crossing profile of 0.039 inches and actuating jaws that open to 2.3 mm.
Compiled by Emily Shafer; Photo credits: all photos courtesy of the manufacturers.