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February 12, 2026JACC Case Reports1 citationsOpen Access

Novel Use of Radiofrequency Guidewire in Leaflet Modification

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RCRyan CooneySVSneha VakamudiGJGrimm JC

Key Result

The Baylis PowerWire Pro guidewire offers potential advantages over the Asahi Astato wire for leaflet modification, including fewer equipment exchanges, added support, and increased pushability.

Key Points

  • The study aims to evaluate the effectiveness of the Baylis PowerWire Pro guidewire in leaflet modification compared to standard methods.
  • Introduced Baylis PowerWire Pro guidewire for leaflet modification
  • Compared performance with Asahi Astato wire
  • Assessed equipment exchanges and catheter support during procedures
  • Baylis PowerWire Pro resulted in fewer equipment exchanges
  • Improved support for catheter delivery noted
  • Enhanced push ability for easier leaflet traversal observed

Structured PICO

I
Intervention
Baylis PowerWire Pro guidewire for leaflet modification
C
Comparator
Asahi Astato wire

The Baylis PowerWire Pro guidewire is presented as a novel tool for leaflet modification with potential procedural advantages over existing wires.

Abstract

The use of the Baylis PowerWire Pro guidewire for leaflet modification is a novel technique that has potential advantages over the commonly used Asahi Astato wire, including fewer equipment exchanges, added support for catheter delivery, and increased push ability for easier leaflet traversal.

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Cite This Study

Cooney et al. (2026) studied this question. The Baylis PowerWire Pro guidewire offers potential advantages over the Asahi Astato wire for leaflet modification, including fewer equipment exchanges, added support, and increased pushability.

synapsesocial.com/papers/698d6e2a5be6419ac0d5395dhttps://doi.org/10.1016/j.jaccas.2026.106921
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Novel Leaflet Modification of the Native Anterior Mitral Valve Leaflet for Transcatheter Mitral Valve Replacement2024 · 3 citations
  2. 2Anterior Leaflet Laceration to Prevent Ventricular Outflow Tract Obstruction During Transcatheter Mitral Valve Replacement2019 · 217 citations
  3. 3Bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction. Part 2: how to perform BASILICA2019 · 43 citations
  4. 4First-in-Human Undermining Iatrogenic Coronary Obstruction With Radiofrequency Needle (UNICORN) Procedure During Valve-in-Valve Transcatheter Aortic Valve Replacement2022 · 76 citations
  5. 5Procedural and one-year outcomes of the BASILICA technique in Europe: the multicentre EURO-BASILICA registry2023 · 42 citations