1. Prairie Cardiovascular Consultants
CTO Equipment
Tony J. DeMartini, MD
Prairie Cardiovascular Consultants
Springfield, IL, USA

2. Disclosures
As a faculty member for this program, I disclose the following relationships with industry:
Speakers Bureau for Abbott Vascular, Boston Scientific and Bridgepoint Medical

3. Sheaths
Guides
Support Catheters
Wires
Crossing Catheters
Guide Support Systems
Snares

4. Sheaths 45cm 8 French long sheaths for femoral access
Arrow sheaths preferred for additional support

5. Guides XB or EBU guides in the left system
Avoid side hole guides to prevent “false sense of security” regarding impaired flow
XBRCA or AL guides in the right system
Use side hole guides to prevent aortic dissection with injections especially with proximal and/or ostial disease

6. Support Catheters
Balloon Catheters
Non-Balloon Catheters
Crossboss

7. Non-Balloon Catheters
Distal
Proximal
O.D.
I.D.
O.D
I.D
FineCross MG
1.8Fr（0.60mm）
0.018''
（0.45mm)
2.6Fr（0.87mm）
0.021''
（0.55mm)
Excelsior (BSC)
2.0Fr（0.67mm）
0.019''（0.48mm)
0.019''
（0.48mm)
Transit (Cordis)
2.3Fr（0.76mm）
（0.50mm)
2.8Fr（0.95mm）
FINECROSS MG
Excelsior
Transit 7 7 7

8. Wires
Fielder XT
Fielder FC
Confienza Pro 12
Pilot 200

9. Fielder XT
Soft jacketed wire with 0.009” diameter tip and shaft with 1.2 gram tip deflection
Used for antegrade probing and “knuckle” technique
30 second wire antegrade
Generally “knuckles” at transition point

12. Fielder FC
Soft jacketed wire with 0.014” diameter tip with 1.6 gram tip deflection
Used for retrograde wiring of septal and epicardial channels
Provides excellent tactile feedback and response
Will often advance through collaterals with minimal operator interaction
Collaterals will push the wire back out if not monitored closely

19. Confienza Pro 12
Stiff wire with 0.009” diameter tip and 0.014” shaft with 12.4 gram tip deflection
Hydrophilic
Used for wire escalation in antegrade approach and for reentry either antegrade or retrograde
Dangerous wire that should be exchanged after the intended task is complete

20. Pilot 200 Hydrophilic wire with 0.014” tip and shaft
Has 4.1 gram tip deflection
Used for “knuckle” technique in both antegrade and retrograde approach
Provides more force than Fielder XT when doing “knuckle” technique
Also provides controllable wire for probing

21. Crossing/Reentry Catheters
Crossboss/Stingray
Tornus
Corsair

22. Crossboss/Stingray Crossboss Highly torqueable coil wired shaft
Atraumatic tip rarely exits vessel
True lumen or adventitial CTO crossing

25. Crossboss/Stingray Stingray balloon
Flat balloon that is self orienting
3 ports [(lumenal (green), adventitial (red) and end hole (blue)]

30. Tornus Braided stainless steel catheter Tapered threaded tip
Available in 2.1 and 2.6 mm
Counterclockwise rotation to advance

31. Corsair
①0.86mm　(2.6Fr)
②0.82mm　(2.5Fr)
③0.86mm　(2.6Fr)
Marker coil
Polyurethane resin + Tungsten powder
Tungsten braiding
Available in 130 and 150mm lengths. Recommend only carrying 150mm device. 31

34. Guide Support
Guideliner

37. Snares Ensnare Usually 27mm or 30mm snares
Wire brought retrograde into aorta and snare used to bring wire into antegrade system and then externalize

40. Thank you