Development of a Magnetic Kissing Guidewire and Animal Experiment: a Preliminary Study

J Cardiovasc Transl Res. 2021 Aug;14(4):589-594. doi: 10.1007/s12265-020-09980-9. Epub 2020 Mar 9.

Abstract

Endovascular therapy has been the first option for many vascular diseases. Due to the increasing development of endovascular devices and techniques in recent decades, endovascular procedures could be applied in treating those cases with complex anatomy. Two or three vascular access routes are required to establish through-and-through access in endovascular therapy for arterial occlusive disease and complex aortic aneurysm. Guidewire snaring with a snare kit is essential but sometimes time-consuming in the establishment of through-and-through access. To simplify the procedure, we design the magnetic kissing guidewire (MKG) with a magnetic tip that attracts each other to establish a guidewire route that meets the needs of clinical practice. We conducted the in vitro test to evaluate its magnetic force and the in vivo test to assess its performance in the arteries of twelve sheep. The results revealed that this novel guidewire significantly simplified the establishment of through-and-through access.

Keywords: Abdominal aortic aneurysm; NdFeB permanent magnet; Novel guidewire; Peripheral artery disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Aorta, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / therapy*
  • Brachial Artery / diagnostic imaging
  • Catheterization, Peripheral / instrumentation*
  • Endovascular Procedures / instrumentation*
  • Equipment Design
  • Feasibility Studies
  • Female
  • Femoral Artery / diagnostic imaging
  • Iliac Artery / diagnostic imaging
  • Magnets*
  • Male
  • Materials Testing
  • Models, Animal
  • Peripheral Arterial Disease / therapy*
  • Sheep, Domestic
  • Vascular Access Devices*