Guidewire coatings: Difference between revisions
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==Overview== | ==Overview== | ||
The distal half of coronary guidewires are coated with slippery (lubricious) materials to reduce the friction of the guidewire as it crosses the blockage in the coronary artery and to also facilitate the passage and delivery of intracoronary devices down the artery. | The distal half (the distal 30-35 cm) of coronary guidewires are coated with slippery (lubricious) materials to reduce the friction of the guidewire as it crosses the blockage in the coronary artery and to also facilitate the passage and delivery of intracoronary devices down the artery. | ||
== | ==Classification Of Lubricious Coatings== | ||
===Hydrophilic === | |||
* | *:Attracts water | ||
* | *:It is applied over polymer or stainless steel (including tip coils) | ||
*:Thin, non-slippery solid when dry, needs lubrication to perform | |||
*:Becomes a gel when wet | |||
*:Reduces friction | |||
*:Increases trackability | |||
===Hydrophobic=== | |||
===Hydrophobic tip and hydrophilic distal end=== | |||
==Commonly used Guidewire Coatings== | |||
*PTFE (Polytetrafluroehylene) is the most common coating | |||
*Teflon | |||
*Silicone | |||
==Commonly used | *Pro/Pel®, (Medtronic) | ||
*Hydro-track® (Medtronic) | |||
*Hydro-coat (Abbott vascular) | |||
===HYDROPHILIC COATING=== | ===HYDROPHILIC COATING=== | ||
===HYDROPHOBIC COATING=== | ===HYDROPHOBIC COATING=== | ||
Revision as of 20:27, 23 October 2011
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The distal half (the distal 30-35 cm) of coronary guidewires are coated with slippery (lubricious) materials to reduce the friction of the guidewire as it crosses the blockage in the coronary artery and to also facilitate the passage and delivery of intracoronary devices down the artery.
Classification Of Lubricious Coatings
Hydrophilic
- Attracts water
- It is applied over polymer or stainless steel (including tip coils)
- Thin, non-slippery solid when dry, needs lubrication to perform
- Becomes a gel when wet
- Reduces friction
- Increases trackability
Hydrophobic
Hydrophobic tip and hydrophilic distal end
Commonly used Guidewire Coatings
- PTFE (Polytetrafluroehylene) is the most common coating
- Teflon
- Silicone
- Pro/Pel®, (Medtronic)
- Hydro-track® (Medtronic)
- Hydro-coat (Abbott vascular)
HYDROPHILIC COATING
HYDROPHOBIC COATING
- repels water
- Silicone on working area of wire, excluding tip
- No actuation/wetting required
- Reduces friction
- Increases trackability
Platinum in the tip for radio-opacity. (usually 3-25 cm length at the tip)