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CORONARY GUIDE WIRE

Created by Group II
PENGERTIAN
Guidewire adalah besi berbahan stainless
steel, berfungsi sebagai pemandu kateter
saat memasuki pembuluh darah yang
dituju.
TUJUAN PENGGUNAAN
GUIDEWIRE

1. Sebagai akses menuju lesi


2. Membantu menyebrang ke lesi
tanpa menimbulkan trauma
3. Untuk melihat sejauh mana ujung dari pembuluh
darah
4. Sebagai jalur & memberikan support agar devices
dapat masuk ke koroner.
KARAKTERISTIK GUIDE WIRE
KOMPONEN GUIDE WIRE

1. CORE : Diameter; Material; Taper


2. TIP
3. COIL, COVER & COATING
Lanjutan KOMPONEN GUIDE WIRE…
Lanjutan KOMPONEN GUIDE WIRE…
KLASIFIKASI GUIDE WIRE
Berdasarkan Tip
Flexibility
1. Floppy : Hi Torque
Balance Middle Weight,
Hi Torque Balance, Hi
Torque Transvers
2. Intermediate : Hi Torque
Intermediate
3. Standard/Stiff : Shinobi,
Boston Scientific
Lanjutan KLASIFIKASI GUIDE WIRE…

Berdasarkan Coating
1. Hydrophilic : ChoICE™ PT Floppy
2. Hydrophobic : Asahi soft

Berdasarkan Device Support


1. Light : Hi Torque Balance
2. Moderate : Hi Torque Balance Middle Weight
3. Extra Support : Hi Torque Wishper

Depending on Tip Load


1. Floppy < 0.5 g
2. Balanced 0.5 – 0.9 g
3. Extra support > 0.9 g
Lanjutan KLASIFIKASI GUIDE WIRE…

• Workhorse wire : Default choice – Balance


stiffness or support & flexible tip – majority
lesion
• Stiff wire : Offer extra support for tortuous or
calcified coronaries
• Floppy wires : When vessel trauma is a concern
(example re-crossing a dissected lession)
Lanjutan KLASIFIKASI GUIDE WIRE…
Lanjutan KLASIFIKASI GUIDE WIRE…
Lanjutan KLASIFIKASI GUIDE WIRE…
Lanjutan KLASIFIKASI GUIDE WIRE…
ASAHI SION blue

Frontline guide wire with great tip flexibility and support for
a safer procedure up to the stent delivery.
ASAHI SION

First choice guide wire with a flexible shaft and full


hydrophilic coating, recommended for tortuous vessels and
side branches.
ASAHI Grand Slam

Stiff wire shaft provides extra support for delivery of


interventional devices in extreme cases
ASAHI SION black

Frontline guide wire with a polymer jacket designed to


retain flexibility while crossing high resistance stenosis and
vessels.
ASAHI Fielder XT
Is a polymer sleeve covered wire providing excellent
lubricity and trackability in tortuous vessels. The tapered tip
provides extreme precision for the treatment of complex
lesions such as sub-total occlusions and long diffused
lesions.
ASAHI Fielder XT-R

Guide wire recommended for narrow channel tracking with


its low profile, flexible tip, and high lubricity polymer
coating.
ASAHI Fielder XT-A

Guide wire with a higher tip load than Fielder XT-R,


facilitating entry into the chronic occluded lesion.
ASAHI ULTIMATEbros 3

Long hydrophilic coating maintains high manoeuvrability,


allowing for improved wire manipulation in heavy stenosed
lesions. Fine shaping improves vessel selectivity and
reduces the risk of false lumen expansion
PILOT 50
The HI-TORQUE PILOT guide wires are polymer-tipped
wires with a lubricious, hydrophilic coating. These wires
provide excellent distal access with superb torque
transmission and variable tip stiffness.
DAFTAR PUSTAKA
• Schneider, A Peter. (2003). Endovascular Skills: Guidewire and
Catheter Skills for Endovascular Surgery; Page 34-40. Google
Books. Diakses pada tanggal 29 Oktober 2017, 16.34 WIB

• Elserafy, Ahmed S. Guidewires. Ain Shams University. Diakses pada


tanggal 30 Oktober 2017, 20.21 WIB

• Rahman, Toufiqur. (2016). Component and Classification of


Coronary Guide Wire. National Institute of Cardiovascular Diseases
Sher-e Bangla Nagar, Dhaka-1207. Diakses pada tanggal 30 Oktober
2017, 20.06 WIB.
TERIMA KASIH