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…
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
