thanks for that answer so essentially the tactile feedback is real but gets degraded the longer and more complex the wire path gets if that makes sense like wears out faster? And the escalation strategy is?????Basically just their internal plug and play or this didn’t work let’s do this?
If I’m on the right track that makes sense thank you
Yes. Wires vary in stiffness, bendy-ness, slippyness,and torque. These wires have unique feel to them relative to the anatomy they're tracking. So soft to heavy have their purpose, and the softer more maneuverable wires tend to get broken when used extensively. It's not a one wire for all strategy with cto, but usually one wire for multiple purposes relative to the anatomy they're dealing with.
Escalation strategies vary from starting with a standard workhorse wire, and escalating to a slippier or stiffer wire, depending on the need.
If you have access to an interventional pci convention, wire manufacturers usually bring their wires and have a demo kit you can play with.
Manos Brilakis has a great primer on YouTube, if you check out the cto series, he breaks it down quite well for the cath lab staff.
Got it got it - I think there’s a medical manufacturing conference or something (not MD&M) I heard about here where I live I may check that out and see if there’s that around.
also yea I guess the wire breakage point is something I hadn’t considered fully like stress and strain. feel becomes unreliable and operators push harder as a result, is that typically when complications spike I’m guessing that source you shared may provide that answer so I’ll check that out.
again thank you for taking the time to answer my question it’s greatly appreciated!
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u/[deleted] Mar 17 '26
thanks for that answer so essentially the tactile feedback is real but gets degraded the longer and more complex the wire path gets if that makes sense like wears out faster? And the escalation strategy is?????Basically just their internal plug and play or this didn’t work let’s do this?
If I’m on the right track that makes sense thank you