Microcatheters for antegrade and retrograde approach George Sianos, Thessaloniki, Greece 11th Experts Live CTO The annual Euro CTO meeting September 13th –14th, 2019 - Berlin, Germany

1. Prof Georgios Sianos, MD, PhD, FESC
Aristotle University
AHEPA University Hospital
Thessaloniki, Greece
A’ Cardiology Department
AHEPA University Hospital
Aristotle University
of Thessaloniki
MICROCATHETERS
FOR ANTEGRADE
AND RETROGRADE
APROACH

2. Finecross
Corsair
MICROCATHETERS

3. CORSAIR MICROCATHETER

4. CORSAIR PRO

5. TURNPIKE MICROCATHETER

6. OVERVIEW
OTW catheters with dual-layer coil + braid shaft design
for superior flexibility & torque for delivery over 0.014"
wires
6
Turnpike
superior tracking
in tortuous vessels
Turnpike Spiral
rotational assistance,
trackability
Turnpike Gold
metallic tip for
enhanced advancement
Turnpike LP
low profile & flexible
for extreme tortuosity

7. CARAVEL MICROCATHETER

8. FINECROSS MICROCATHETER
FINECROSS MG
0.7mm
0.7mm

9. MAMBA /MAMBA Flex 135/150

10. NHANCER PRO X MOSQUITO TIP

11. TELEPORT AND TELEPORT CONTROL MC
ORBUS NEICH

12. Straight/FT
Components
Stainless steel braid
enhances deliverability,
flexibility & kink resistance
PTFE inner layer
for superb guidewire
movement & delivery
Tapered distal O.D. = enhanced catheter delivery
through tortuous vessels
VASCULAR SOLUTIONS
TELEFLEX

13. TIP CONFIGURATIONS
SuperCross Angled Tips
• 130cm & 150cm lengths with 45°, 90° & 120° angles
• XT = extended tip lengthened from 0.65mm to 1.75mm to achieve
more secure cannulation – 130cm & 150cm lengths
TELEFLEX

14. TELEFLEX

15. CENTERCROSS AND MULTICROSS
MICRO 14
Jalal S et al, Novel CenterCross and MultiCross devices for the treatment of infrainguinal chronic
total occlusions: initial single-centre experience. EuroIntervention. 2016

16. DUAL LUMEN MICROCATHETERS COMMERCIALLY AVAILABLE

17. IMDS

18. MICROCATHETERS FOR ANTEGRADE CTO APPROACH
More back up
Ostial or very proximal, tourtous
lesions
Less back up
Not very calcified CTO lesions
FINECROSS
CARAVEL
NHANCER PRO X
MAMBA
TELEPORT
SUPERCROSS
CORSAIR PRO
TURNPIKE SPIRAL
Rotatable MCPushable MC
DUAL LUMEN
RECROSS

19. MICROCATHETERS FOR RETROGRADE CTO APPROACH
Septal Crossing Epicardial Crossing
6Fr GCs
Rotatable MC Low profile MC
CORSAIR PRO
TURNPIKE
>1,5mm < 1,5mm
FINECROSS
TURNPIKE LP
CARAVEL
MAMBA

20. CONCLUSION
There is a great evolution in microcatheter
technology both for antegrade and retrograde
approach greatly facilitating the efficacy and
safety of these techniques.
Still microcatheter evolution lacks guidewire
evolution and needs further improvement.

21. CONCLUSION
There is a great evolution in microcatheter
technology both for antegrade and retrograde
approach greatly facilitating the efficacy and
safety of these techniques.
Still microcatheter evolution lacks guidewire
evolution and needs further improvement.