Create a path through soft tissues with controlled RF puncture technology

Create controlled cuts through targeted soft tissue

The PowerWire^® Pulse RF Guidewire has been used to cut soft tissue including structures of the cardiovascular system, portal venous system, biliary system, urinary system, and GI tract.^1-19

Portal Venous System

Transjugular intrahepatic portosystemic shunt (TIPS) and Direct intrahepatic portocaval shunt (DIPS) creation^9-12

GI and Biliary

Biliary

Obstructive biliary strictures^8,10,16

Biliary-Enteric Anastomoses^6,16

Cardiovascular

Reverse Potts Shunt²
Endovascular management of aortic coarctation^1,13

Urinary

Obstructive ureteral strictures
Urethral strictures
Ureteroenteric anastomotic strictures ^6,14

Consult IFU

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Create a path forward with controlled RF puncture.

A rounded, atraumatic tip delivers RF energy to create controlled punctures (cuts) through targeted soft tissue with minimal trauma to surrounding tissues

Maximum Outer Diameter

0.035”

Length

250 cm

Ordering Information

Product Code	Tip Strength	Tip Shape
PTK35-250-08-6S	50g	Straight
PTK35-250-10-6S	75g	Straight

Clinical Case Support

We provide product training, clinical support, and ongoing communication to interventionalists and their support teams to ensure optimal utilization of our technologies.

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Products shown may not be approved or available in all jurisdictions. The PowerWire^® Pulse Radiofrequency (RF) Guidewire is indicated to cut and coagulate soft tissue.

References:

Almashham, Y., Dahdah, N. & Miro, J. Use of Radiofrequency Then Stent Implantation for Recanalization of Complete Aorta Coarctation. Pediatr Cardiol, 29, 207–209 (2008). https://doi.org/10.1007/s00246-007-9090-2
Anderson, J. H., Cabalka, A. K., Frantz, R. P., Cajigas, H. R., & Taggart, N. W. Transcatheter nonductal reverse Potts shunt creation in pulmonary arterial hypertension. Circulation: Cardiovascular Interventions, 15(1). https://doi.org/10.1161/circinterventions.121.011315
“Betensky, B. P., & Santangeli, P. Radiofrequency wire–facilitated transseptal access using a superior approach for atrial fibrillation ablation in a patient with inferior vena cava obstruction. HeartRhythm Case Reports, 2(3), 265–267. https://doi.org/10.1016/j.hrcr.2015.09.008“
Chopra, P., Cleveland, C. H., Johnson, M., Michell, H., Holoch, P., Irwin, B., Scriver, G. M., & Morris, C. S. Creation of a neoinfundibulum and serial balloon dilations for the treatment of the excluded calyx: Two cases describing a novel technique. Radiology Case Reports, 15(8), 1121–1127. https://doi.org/10.1016/j.radcr.2020.04.038
Clark, T. W. I. & Park, B. J. Neoureter Creation to Bypass Distal Ureter Obstruction into Neobladder Using Radiofrequency Guide-Wire Technique. Journal of Vascular and Interventional Radiology, 31(9), 1503–1505. https://doi.org/10.1016/j.jvir.2020.04.012

References:

Almashham, Y., Dahdah, N. & Miro, J. Use of Radiofrequency Then Stent Implantation for Recanalization of Complete Aorta Coarctation. Pediatr Cardiol, 29, 207–209 (2008). https://doi.org/10.1007/s00246-007-9090-2
Anderson, J. H., Cabalka, A. K., Frantz, R. P., Cajigas, H. R., & Taggart, N. W. Transcatheter nonductal reverse Potts shunt creation in pulmonary arterial hypertension. Circulation: Cardiovascular Interventions, 15(1). https://doi.org/10.1161/circinterventions.121.011315
“Betensky, B. P., & Santangeli, P. Radiofrequency wire–facilitated transseptal access using a superior approach for atrial fibrillation ablation in a patient with inferior vena cava obstruction. HeartRhythm Case Reports, 2(3), 265–267. https://doi.org/10.1016/j.hrcr.2015.09.008“
Chopra, P., Cleveland, C. H., Johnson, M., Michell, H., Holoch, P., Irwin, B., Scriver, G. M., & Morris, C. S. Creation of a neoinfundibulum and serial balloon dilations for the treatment of the excluded calyx: Two cases describing a novel technique. Radiology Case Reports, 15(8), 1121–1127. https://doi.org/10.1016/j.radcr.2020.04.038
Clark, T. W. I. & Park, B. J. Neoureter Creation to Bypass Distal Ureter Obstruction into Neobladder Using Radiofrequency Guide-Wire Technique. Journal of Vascular and Interventional Radiology, 31(9), 1503–1505. https://doi.org/10.1016/j.jvir.2020.04.012
Close, O. N., Akinwande, O., Varma, R. K., Santos, E., & Kim, H. S. Percutaneous hepaticojejunostomy using a radiofrequency wire for management of a postoperative bile leak. CardioVascular and Interventional Radiology, 40(1), 139–143. https://doi.org/10.1007/s00270-016-1468-1
Cool, D. W., Xu, S. S., Li, K. J., Power, N. E., & Kribs, S. W. (2021). Percutaneous neoanastomosis creation for an ileal conduit ureteroenteric occlusion using radiofrequency guidewire and snare target technique. Journal of Vascular and Interventional Radiology, 32(5), 778–781. https://doi.org/10.1016/j.jvir.2020.12.028
Dai, R., Kim, C. Y., Sudan, D. L., Perkins, S. S., Tamas, J. W., & Suhocki, P. V. Percutaneous creation of a choledocho-choledochostomy for intractable iatrogenic bile duct injury. Clinical Endoscopy, 56(3), 384–387. https://doi.org/10.5946/ce.2022.098
Farsad, K., Narasimhan, E., Russell, L., & Kaufman, J. A. Transjugular intrahepatic portosystemic shunt creation using a radiofrequency wire: Prospective clinical safety and feasibility trial in cirrhosis. Journal of Vascular and Interventional Radiology, 31(9), 1401–1407. https://doi.org/10.1016/j.jvir.2020.05.025
Guimaraes, M., Uflacker, A., Schönholz, C., & Uflacker, R. Successful Recanalization of Bile Duct Occlusion with a Radiofrequency Puncture Wire Technique. Journal of Vascular and Interventional Radiology, 21(2), 289–294.https://doi.org/10.1016/j.jvir.2009.10.012
Liang, J. J., Lin, A., Mohanty, S., Muser, D., Briceno, D. F., Burkhardt, J. D., Supple, G. E., Callans, D. J., Dixit, S., Horton, R. P., Di Biase, L., Marchlinski, F. E., Natale, A., & Santangeli, P. Radiofrequency-Assisted transseptal access for atrial fibrillation ablation via a superior approach. JACC. Clinical Electrophysiology, 6(3), 272–281. https://doi.org/10.1016/j.jacep.2019.10.019
Majdalany, B. S., Elliott, E. D., Michaels, A. J., Hanje, A. J., & Saad, W. E. A. Radiofrequency wire recanalization of Chronically thrombosed TIPS. CardioVascular and Interventional Radiology, 39(7), 1040–1044. https://doi.org/10.1007/s00270-016-1305-6
Menon, P. J., & Walsh, K. A case series describing percutaneous management of aortic isthmic atresia. Vascular and Endovascular Surgery, 54(5), 463–466. https://doi.org/10.1177/1538574420921280
Nirmalarajan, S., Borowski, A., Gearhart, J. P., Mitchell, S. E., & Weiss, C. R. Urethral recanalization using a radiofrequency guide wire and a rendezvous approach for traversal of a pelvic fracture urethral distraction defect. Journal of Vascular and Interventional Radiology, 27(11), 1768–1770.
https://doi.org/10.1016/j.jvir.2016.03.026
Plotkin, A., Hanks, S. E., Han, S. M., Fleischman, F., Weaver, F. A., & Magee, G. A. Endovascular septal fenestration using a radiofrequency wire to salvage inadvertent false lumen deployment of a frozen elephant trunk stent graft. Journal of Vascular Surgery Cases and Innovative Techniques, 5(4), 553–556.
https://doi.org/10.1016/j.jvscit.2019.07.011
Robins, C., Xiao, N., Salem, R., Malik, A., Keswani, R. N., & Riaz, A. (2022). Percutaneous biliary neo-anastomosis or neo-duct creation using radiofrequency wires. CardioVascular and Interventional Radiology, 45(3), 337–343. https://doi.org/10.1007/s00270-022-03059-5
Sandoval, J. & Chaturvedi, R. A simple and fast technique for radiofrequency-assisted perforation of the atrial septum in congenital heart disease. Annals of Pediatric Cardiology, 9(1), 39. https://doi.org/10.4103/0974-2069.171405
Santangeli, P. (2022). Right atrium to left ventricle puncture for VT ablation in patients with mechanical aortic and mitral valves: A step‐by‐step approach. Journal of Cardiovascular Electrophysiology, 33(9), 2094–2099. https://doi.org/10.1111/jce.15467
Stella, S. F., Lindsay, T. F., & Tan, K. T. (2019). Toronto PowerWire fenestration technique to access false lumen branches in fenestrated endovascular aneurysm repair for chronic type B dissection. Journal of Vascular Surgery, 69(1), 249–252. https://doi.org/10.1016/j.jvs.2018.06.200

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