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September 3, 2026JACC AsiaOpen Access

Aspiration-enabled dual microcatheters enhance parallel wire CTO PCI by mitigating subintimal hematoma expansion.

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Why the study?

Does a real-time aspiration-enabled dual over-the-wire microcatheter improve success rates of the parallel wire technique in chronic total occlusion PCI?

Population

Patients undergoing chronic total occlusion (CTO) percutaneous coronary intervention (PCI)

Design

Other

Key result

A real-time aspiration-enabled dual over-the-wire microcatheter enhances the parallel wire technique in chronic total occlusion PCI by mitigating subintimal hematoma expansion.

Authors

XZXin ZhongYDYong DongCXChenhai Xia

Discussion

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Member takes

Overview

May enhance parallel wire success in CTO PCI by limiting hematoma; hypothesis-generating pending randomized trials.

Key Points

  • To evaluate the use of a real-time aspiration-enabled dual over-the-wire microcatheter in improving the success rate of the parallel wire technique during chronic total occlusion percutaneous coronary intervention.
  • Evaluated procedural maneuvers during chronic total occlusion percutaneous coronary intervention using a real-time aspiration-enabled dual over-the-wire microcatheter to support the parallel wire technique.
  • Identified progressive subintimal hematoma expansion during procedural maneuvers as the primary mechanism underlying suboptimal parallel wire technique success rates.
  • Real-time aspiration via the dual over-the-wire microcatheter targets the mitigation of hematoma-induced failure during recanalization.

Structured PICO

Does a real-time aspiration-enabled dual over-the-wire microcatheter improve success rates of the parallel wire technique in chronic total occlusion PCI?

P
Population
Patients undergoing chronic total occlusion (CTO) percutaneous coronary intervention (PCI)
I
Intervention
Real-Time Aspiration-Enabled Dual Over-the-Wire Microcatheter

A real-time aspiration-enabled dual over-the-wire microcatheter may enhance the parallel wire technique in CTO PCI by addressing subintimal hematoma expansion.

Cite This Study

Zhong et al. (2026) studied this question. A real-time aspiration-enabled dual over-the-wire microcatheter enhances the parallel wire technique in chronic total occlusion PCI by mitigating subintimal hematoma expansion.

synapsesocial.com/papers/6a993474636c6408cfa7c269https://doi.org/10.1016/j.jacasi.2026.06.026
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparative outcomes of parallel-wire and antegrade wire escalation techniques following single-wire failure in CTO PCI: A long-term follow-up study2025
  2. 2Successful Revascularization of Chronic Total Occlusions in Patients With Chronic Thromboembolic Pulmonary Disease2026
  3. 3Utilizing Mixed Reality Technology to Facilitate Coronary Chronic Total Occlusion Antegrade Wiring2025
  4. 4Shared Experiences With Guidewire Application in Chronic Total Occlusion: Technological Advances and Clinical Implications2025
  5. 5Donor Vessel Microcatheter Rupture During CTO-PCI Causing Hemodynamic Collapse2025