Guidewire lengths

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The standard length of a coronary guidewire is 175-190 cm. The standard length of an exchange length coronary guidewire is 270-400 cm.

Use of a Docking Wire to Extend the Length of the Wire

If you are using a standard length wire and need to create an exchange length wire, you can use a "docking system" to mount an additional length of wire onto the standard wire. The docking wire attaches to the standard length wire. Care should be exercised as the docking joint is prone to “snapping” when bent, and the docking joint may give way.

Use of an Exchange Link Wire As Part of a Single Operator Procedure

When using an exchange length wire and delivering a balloon or a stent, a magnet may be used to hold the wire in place. It is preferable to have two operators when using an exchange length wire.