PERCUSURGE GUARDWIRE

This system provides temporary occlusion of the ICA and aspiration of particles after CAS.
The device has three components: an exchange guide-wire, a micro-seal adapter and a monorail aspiration catheter.
The distal segment of the 0.014" hollow nitinol wire is shape-adaptable, radiopaque and steerable. Proximal to the floppy tip an aelastomeric polyurethane occlusion balloon, with a crossing profile of 0.036", is attached and it can be dilated from 3 to 6 mm according to the ICA diameter.
Once the wire is advanced beyond the target lesion, the balloon is dilated using the handheld microseal adaptor and EZ Flator in order to occlude the ICA blood flow.
A contrast media injection is then performed to confirm the complete occlusion of the blood flow within the ICA.
While the occlusion balloon remains inflated, the handheld system is removed from the proximal end of the wire.
At the end of the procedure the Export aspiration catheter is inserted up to the level of the distal occlusion balloon to aspirate the column of blood possibly containing plaque debris.
Two-three aspirations (15-45 ml of blood) are suggested.
The aspiration catheter can then be removed and the occlusion balloon deflated restoring the normal antegrade flow.