📊 Evidence-Based Reference

hi-torque floppy guide wire with hydrocoat hydrophilic coating hi-torque standard guide wire with hydrocoat hydrophilic

Guidant

Summary: The hi-torque floppy guide wire with hydrocoat hydrophilic coating is used in interventional cardiology for navigating vascular pathways. Key evidence includes its use in complex procedures like RVOT stenting and PTCA.

FDA Clearance Information

Pathway 510K
Decision Date March 13, 1998
Product Code DQX
Device Class Class 2
Evidence 419 studies

The hi-torque floppy guide wire was cleared by the FDA via the 510(k) pathway on March 13, 1998. It is manufactured by Guidant and classified as a Class 2 device.

What It Is

The hi-torque floppy guide wire is a medical device designed to assist in navigating vascular pathways during interventional procedures. Its hydrophilic coating aids in smooth passage through blood vessels, making it suitable for complex cardiac interventions.

Clinical Applications

This guide wire is commonly used in procedures such as percutaneous transluminal coronary angioplasty (PTCA) and stenting, particularly in challenging cases involving tortuous or narrowed vessels.

Evidence Summary

The available literature includes a case report from 1991 and a procedural guide from 2025. These studies highlight its application in both coronary angioplasty and right ventricular outflow tract stenting.

Reported Outcomes

Published studies report successful use of the guide wire in PTCA and RVOT stenting. In one case, PTCA was successfully performed on a severe LAD stenosis, though complications arose later.

Safety Profile

Reported complications include coronary arterial rupture during PTCA, with an incidence of 0.13%. Other adverse events noted were transient hypotension and mild to moderate pericardial effusion.

Evidence Limitations

The evidence is limited by the small number of studies and the age of some data. Further research is needed to explore long-term outcomes and broader applications of the device.

Linked Studies (20)

PubMed • 2025

Onyx Liquid Embolic Agent: Basic Knowledge for Its Use in Interventional Neuroradiology.

Journal of neuroendovascular therapy

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Performance evaluation of quantitative hemoglobin A2 and fetal hemoglobin testing using commercially lyophilized vs. in-house whole blood controls in Chinese clinical laboratories: a 12-year analysis of National External Quality Assessment Data.

Clinical chemistry and laboratory medicine

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Clinical progress note: Haemophilus influenzae type b.

Journal of hospital medicine

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Pilot study of social media promotion of home-based self-testing for syphilis.

Sexually transmitted diseases

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Clinical development and performance of the First to Know Syphilis Self-Test for over-the-counter usage: a de novo rapid test for treponemal antibody.

Journal of clinical microbiology

View Source →
PubMed • 2025

Implementation of an Opt-Out and Rapid Point-of-Care Syphilis Testing Program for Pregnant Patients Presenting to the Emergency Department.

Sexually transmitted diseases

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Evaluation of Rapid Syphilis Testing Using the Syphilis Health Check in Florida, 2015-2016.

Florida public health review

View Source →
PubMed • 2025

Multiplex droplet digital PCR for the detection and quantitation of Streptococcus pneumoniae, Mycoplasma pneumoniae, and Haemophilus influenzae.

Frontiers in cellular and infection microbiology

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Palm Multidiagnostic of Mycoplasma pneumoniae, Chlamydia pneumoniae, Haemophilus influenzae, and Streptococcus pneumoniae Using One-Tube CRISPR/Cas12a.

Transboundary and emerging diseases

View Source →
PubMed • 2025

Tp40: a new potential prognostic and diagnostic marker for syphilis.

Microbiology spectrum

View Source →
PubMed • 2025

Serotonin sets up neutrophil extracellular traps to promote neuroendocrine prostate cancer metastasis in the liver.

The Journal of clinical investigation

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Application value of Philips Ingenuity TF PET/CT scanner imaging agent FAP in evaluating renal fibrosis.

Hellenic journal of nuclear medicine

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Message from Dr. Philippe T. Georgel, Guest Editor for the Marshall University Collection, Brad D. Smith, President of Marshall University, and Dr. Anivandan Mukherjee, Provost of Marshall University.

Biochemistry and cell biology = Biochimie et biologie cellulaire

View Source →
PubMed • 2025

Editorial - Philippe Ascher (1936-2022).

Neuroscience

View Source →
PubMed • 2025

Improved patient comfort and procedural efficiency using chlorhexidine-coated hydrophilic urethral catheters: a randomized controlled trial.

Journal of Yeungnam medical science

RCT View Source →
PubMed • 2025

pTx-Pulseq in hybrid sequences: Accessible and advanced hybrid open-source MRI sequences on Philips scanners.

Magnetic resonance in medicine

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Comparative connectomics of Drosophila descending and ascending neurons.

Nature

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Hydrophilic-coated sheaths for reducing radial artery spasm during transradial procedures: A systematic review and meta-analysis.

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

View Source →
PubMed • 2025

History of antineutrophil cytoplasmic autoantibodies : Milestones in rheumatology.

Zeitschrift fur Rheumatologie

View Source →
PubMed • 2025

A Hydrophilic Polyurethane Foam Containing Nigella sativa Oil as a Wound Dressing.

BioMed research international

RCT|prospective|retrospective|case Series|other View Source →

Frequently Asked Questions

What are the clinical indications for hi-torque floppy guide wire?

The guide wire is indicated for use in interventional cardiology procedures such as PTCA and stenting, particularly in complex vascular pathways.

What outcomes have been reported in clinical studies?

Studies have reported successful navigation and intervention in coronary and RVOT procedures, though some complications were noted.

What complications have been reported?

Safety data indicate complications such as coronary arterial rupture, transient hypotension, and pericardial effusion during PTCA.

Disclaimer: This page compiles publicly available regulatory and published clinical evidence for educational reference. It does not constitute medical advice, product endorsement, or a recommendation for clinical use. Always consult manufacturer documentation and clinical judgment for patient care decisions.

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