DISTAL CORONARY-ARTERY PERFORATION RESULTING FROM THE USE OF HYDROPHILIC COATED GUIDEWIRE IN TORTUOUS VESSELS

We describe our experience with the ChoiCE PT (Boston Scientific Corpo ration, MN) guidewire, which resulted in perforation of the distal cor onary artery in two instances, This newly introduced guidewire differs from earlier guidewires in its ability to cross lesions in tortuous a rteries, However, when it buckles deep in the coronary artery, perfora tion can easily result. While the Choice PT guidewire is a useful addi tion to our armamentarium in interventional procedures, it should be t reated with care, (C) 1998 Wiley-Liss, Inc.