{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T12:03:05Z","timestamp":1789646585772,"version":"4.0.0"},"reference-count":9,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intravascular ultrasound (IVUS)\u2010guided antegrade dissection and re\u2010entry (ADR) is an emerging strategy for chronic total occlusion (CTO) percutaneous coronary intervention (PCI). However, its adoption has been limited by the perceived requirement for dedicated IVUS systems and specialized puncture guidewires. We describe a guidewire manipulation\u2010directed IVUS\u2010guided ADR technique using widely available equipment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Summary<\/jats:title>\n                    <jats:p>A patient with a complex left anterior descending artery CTO underwent guidewire manipulation\u2010directed IVUS\u2010guided ADR using a conventional long\u2010tip Insight LifeTech IVUS catheter and a handmade 45\u00b0\u2010shaped 12\u2010g polymer\u2010jacketed guidewire. Following lesion preparation, true\u2010lumen re\u2010entry was achieved by manipulating the guidewire relative to a largely stationary IVUS catheter rather than repeatedly repositioning the IVUS transducer. The high\u2010tip\u2010load polymer\u2010jacketed guidewire enabled controlled puncture and subsequent intraluminal advancement under IVUS guidance. The procedure resulted in successful microcatheter advancement, complete CTO recanalization, and implantation of three drug\u2010eluting stents with an excellent final angiographic result.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This report demonstrates the technical feasibility of guidewire manipulation\u2010directed IVUS\u2010guided ADR without dedicated devices. A conventional long\u2010tip IVUS catheter and a polymer\u2010jacketed high\u2010tip\u2010load guidewire may represent a practical alternative when dedicated equipment is unavailable, potentially expanding the applicability of IVUS\u2010guided ADR. Further experience is required to establish the reproducibility and safety of this approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70890","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T11:26:56Z","timestamp":1789644416000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Guidewire Manipulation\u2010Directed IVUS\u2010Guided Antegrade Dissection and Re\u2010Entry Without Dedicated Devices"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4775-1402","authenticated-orcid":false,"given":"Sevket","family":"Gorgulu","sequence":"first","affiliation":[{"name":"Biruni University Medical School Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7988-7027","authenticated-orcid":false,"given":"Oguz","family":"Akkus","sequence":"additional","affiliation":[{"name":"Mustafa Kemal University  Hatay Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4628-6672","authenticated-orcid":false,"given":"Sefa","family":"Sural","sequence":"additional","affiliation":[{"name":"Toros University Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaccas.2024.103179"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.33963\/v.phj.101282"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytac233"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.07.041"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacasi.2023.11.017"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2023.08.031"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.70448"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytaf355"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytae378"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70890","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70890","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70890","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T11:26:57Z","timestamp":1789644417000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70890"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,17]]},"references-count":9,"alternative-id":["10.1002\/ccd.70890"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70890","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,17]]},"assertion":[{"value":"2026-08-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ccd.70890"}}