The Effective and Safe Way to Use Crusade Microcatheter-Facilitated Reverse Wire Technique to Solve Bifurcated Lesions with Markedly Angulated Target Vessel

Figure 2

Diagrammatic representation of the microcatheter-facilitated reverse wire technique. (a) Due to the tight stenosis proximal bifurcation, we usually inflate a suitable size of balloon catheter to modify the plaque distribution of untargeted vessel and make reverse wire system pass the stenosis proximal easily. (b) A short tip curve was made on guidewire. (c) Softly folding the guide wire with a smooth round curve and inserting it into the hemostatic valve. (d) After pulling back the reverse system proximal to the bifurcation lesion and some rotations, the reverse wire tip directs into the ostium of the target vessel. (e) Deliver the reverse wire down to the distal segment of target vessel.

(a)

(b)

(c)

(d)

(e)