{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:45:59Z","timestamp":1762004759151},"reference-count":8,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,9,8]],"date-time":"2015-09-08T00:00:00Z","timestamp":1441670400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Interven Cardiology"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>To assess whether a new floppy pigtail guidewire provides sufficient support for introduction of the 22F\u2010steerable guide catheter (SG) into the left atrium and is less time\u2010consuming during the MitraClip<jats:sup>\u00ae<\/jats:sup>\u2010procedure without necessity of probing and inserting a stiff wire into the pulmonary vein.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In group 1, traditional probing of the left upper pulmonary vein and insertion of a standard stiff wire was used. In group 2, direct insertion of the floppy pigtail guidewire directly after transseptal puncture was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients in group 1 (n\u2009=\u200918) and group 2 (n\u2009=\u200921) did not differ significantly with respect to mitral regurgitation severity (3.2\u2009\u00b1\u20090.4 vs 3.2\u2009\u00b1\u20090.4; P\u2009=\u20090.814) and etiology (functional 78% vs 71%, P\u2009=\u20090.651). Comparing both methods, a significant reduction in time\u2010to\u2010SG was observed in group 2 versus group 1 (17\u2009\u00b1\u20097 minutes vs 30\u2009\u00b1\u200911 minutes; P\u2009=\u20090.001). The rate of crossing failures was 0% with use of the floppy pigtail guidewire as well as with the traditional technique. No complications were observed with use of the floppy pigtail guidewire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Utilization of a thin, floppy pigtail guidewire for left atrium access is safe and markedly accelerates insertion of the SG for the MitraClip<jats:sup>\u00ae<\/jats:sup>\u2010procedure without crossing failures of the atrial septum. (J Interven Cardiol 2015;28:472\u2013478)<\/jats:p><\/jats:sec>","DOI":"10.1111\/joic.12224","type":"journal-article","created":{"date-parts":[[2015,9,8]],"date-time":"2015-09-08T10:03:43Z","timestamp":1441706623000},"page":"472-478","source":"Crossref","is-referenced-by-count":6,"title":["Simplified Method for Insertion of Steerable Guide into the Left Atrium Using a Pigtail Guide Wire During the MitraClip<sup>\u00ae<\/sup> Procedure: A Technical Tip"],"prefix":"10.1111","volume":"28","author":[{"given":"Stefan","family":"Buchner","sequence":"first","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II Universit \u00e4 tsklinikum Regensburg Regensburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ansgar","family":"Dreher","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II Universit \u00e4 tsklinikum Regensburg Regensburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Resch","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II Universit \u00e4 tsklinikum Regensburg Regensburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Schach","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II Universit \u00e4 tsklinikum Regensburg Regensburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Birner","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II Universit \u00e4 tsklinikum Regensburg Regensburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Luchner","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II Universit \u00e4 tsklinikum Regensburg Regensburg"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,9,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.02.094"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt321"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.01.039"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.07.047"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.11.043"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2010.09.023"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.03.077"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.792952"}],"container-title":["Journal of Interventional Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjoic.12224","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjoic.12224","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joic.12224","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T17:07:33Z","timestamp":1696525653000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joic.12224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,8]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1111\/joic.12224"],"URL":"https:\/\/doi.org\/10.1111\/joic.12224","archive":["Portico"],"relation":{},"ISSN":["0896-4327","1540-8183"],"issn-type":[{"value":"0896-4327","type":"print"},{"value":"1540-8183","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,8]]}}}