Introducing PowerWire® Pro RF Guidewire
Safely cross native and in-stent occlusions using radiofrequency puncture technology
In the USA, PowerWire® Pro RF Guidewire is indicated to create a channel in totally occluded peripheral vessels 3 mm or greater, including vessels with stents.
In Canada, PowerWire® Pro RF Guidewire is indicated for creating a channel in totally occlusive peripheral vascular disease, in either native or previously stented vessels, for enhancing the potential for limb preservation.
Cross chronic venous occlusions
When a standard guidewire fails, channel through using the PowerWire® Pro RF Guidewire
Overcome barriers to venous access
Up to 24%
CVOs Resistant to Standard techniques
Witness the transformation
84%
Success rate with PowerWire® Pro RF Guidewire
Witness the transformation
84%
Success rate with PowerWire® Pro RF Guidewire
In the face of 100% failure with standard tools, PowerWire® Pro RF Guidewire achieved an 84% success rate, ensuring patients receive the crucial treatments they need.1-13
Designed to safely cross occluded peripheral stents
Safely cross occlusions using RF Puncture Technology
RF Puncture Technology
 High impedance |
High voltage |
Short RF delivery time |
| Low power |
Small active tip |
How does RF puncture differ from RF ablation?
Ordering Information
| Product Code | Tip Strength | Tip Shape |
|---|---|---|
|
PSK35-250-10-6S |
75 g |
Straight |
|
PSK35-250-12-6S |
110 g |
Straight |
|
PSK35-250-12-6A-20 |
110 g |
Angled 20° |
|
PSK35-250-12-6A-30 |
110 g |
Angled 30° |
|
PSK35-250-12-6A-40 |
110 g |
Angled 40° |
PowerWire® Pro RF Guidewire Clinical Compendium
Learn how to cross complete
venous occlusions with the Sniper Technique
This four-part educational series, equips endovascular interventionalists with advanced techniques for successful venous recanalization. Review all facets of the Sniper Technique, from pre-procedural planning to post-operative care, to facilitate safe and effective recanalization of even the most complex central venous occlusions (CVOs) and iliac vein obstructions.
Part 1: Patient Selection and Pre-Procedural Planning
Review critical anatomy and imaging when planning for the Sniper Technique. Explore advanced imaging techniques that can be implemented to enhance procedural efficiency and safety.
Part 2: Tools and Room Preparation
Review tools, equipment, and room setup to facilitate a successful procedure.
Part 3: Recanalization of Challenging Central Venous Occlusions (CVOs)
Explore the step-by-step technique for radiofrequency (RF)-assisted crossing of CVOs with the PowerWire® RF Guidewire (“RF Wire”).
Part 4: Addressing Complex Lower Extremity Occlusions
Review advanced techniques when approaching challenging lower extremity venous occlusions for safe and effective intervention.
Part 1: Patient Selection and Pre-Procedural Planning
Part 2: Tools and Room Preparation
Part 3: Recanalization of Challenging Central Venous Occlusions (CVOs)
Part 4: Addressing Complex Lower Extremity Occlusions
Resource Library
Browse content specific to this product, such as brochures, publications, white papers, IFUs, videos and other product information.
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.
How can we help you today?
- Guimaraes, M., Schonholz, C., Hannegan, C., Anderson, M. B., Shi, J., & Selby, B., Jr. (2012). Radiofrequency wire for the recanalization of central vein occlusions that have failed conventional endovascular techniques . J Vasc Interv Radiol, 23(8), 1016-1021. https://doi.org/10.1016/j.jvir.2012.05.049
- Keller, E. J., Gupta, S. A., Bondarev, S., Sato, K. T., Vogelzang, R. L., & Resnick, S. A. (2018). Single-Center Retrospective Review of Radiofrequency Wire Recanalization of Refractory Central Venous Occlusions . J Vasc Interv Radiol, 29(11), 1571-1577. https://doi.org/10.1016/j.jvir.2018.06.017
- Iafrati, M., Maloney, S., & Halin, N. (2012). Radiofrequency thermal wire is a useful adjunct to treat chronic central venous occlusions [Duplicate]. J Vasc Surg, 55(2), 603-606. https://doi.org/10.1016/j.jvs.2011.09.090
- Kundu, S., Modabber, M., You, J. M., & Tam, P. (2012). Recanalization of chronic refractory central venous occlusions utilizing a radiofrequency guidewire perforation technique . J Vasc Access, 13(4), 464-467. https://doi.org/10.5301/jva.5000087
- Foley, P. W. X., & Chandrasekaran, B. (2023). Radiofrequency thermal wire for crossing subclavian vein occlusion allows lead upgrade in patient with pre-existing transvenous device. HeartRhythm Case Reports, 9(5), 304–305. https://doi.org/10.1016/j.hrcr.2023.02.006
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References:
- Guimaraes, M., Schonholz, C., Hannegan, C., Anderson, M. B., Shi, J., & Selby, B., Jr. (2012). Radiofrequency wire for the recanalization of central vein occlusions that have failed conventional endovascular techniques . J Vasc Interv Radiol, 23(8), 1016-1021. https://doi.org/10.1016/j.jvir.2012.05.049
- Keller, E. J., Gupta, S. A., Bondarev, S., Sato, K. T., Vogelzang, R. L., & Resnick, S. A. (2018). Single-Center Retrospective Review of Radiofrequency Wire Recanalization of Refractory Central Venous Occlusions . J Vasc Interv Radiol, 29(11), 1571-1577. https://doi.org/10.1016/j.jvir.2018.06.017
- Iafrati, M., Maloney, S., & Halin, N. (2012). Radiofrequency thermal wire is a useful adjunct to treat chronic central venous occlusions [Duplicate]. J Vasc Surg, 55(2), 603-606. https://doi.org/10.1016/j.jvs.2011.09.090
- Kundu, S., Modabber, M., You, J. M., & Tam, P. (2012). Recanalization of chronic refractory central venous occlusions utilizing a radiofrequency guidewire perforation technique . J Vasc Access, 13(4), 464-467. https://doi.org/10.5301/jva.5000087
- Foley, P. W. X., & Chandrasekaran, B. (2023). Radiofrequency thermal wire for crossing subclavian vein occlusion allows lead upgrade in patient with pre-existing transvenous device. HeartRhythm Case Reports, 9(5), 304–305. https://doi.org/10.1016/j.hrcr.2023.02.006
- Patel, R., Ahuja, A., & Resnick, S. (2021). Percutaneous retrieval of a Mobin-Uddin inferior vena cava filter 42 years following implantation. Diagnostic and interventional radiology (Ankara, Turkey), 27(6), 792–795. https://doi.org/10.5152/dir.2021.20984
- Salaskar, A., Ferra, M., Narayanan, H. et al. Radiofrequency wire ‘power wire’ recanalization of calcified chronically occluded inferior vena cava. CVIR Endovasc 1, 24 (2018). https://doi.org/10.1186/s42155-018-0030-4
- Sivananthan, G., MacArthur, D. H., Daly, K. P., Allen, D. W., Hakham, S., & Halin, N. J. (2015). Safety and efficacy of radiofrequency wire recanalization of chronic central venous occlusions. J Vasc Access, 16(4), 309-314. https://doi.org/10.5301/jva.5000360
- Tapping, C. R., Uri, I. F., Dixon, S., Bratby, M. J., Anthony, S., & Uberoi, R. (2012). Successful recanalization of a longstanding right common iliac artery occlusion with a radiofrequency guidewire . Cardiovasc Intervent Radiol, 35(5), 1221-1225. https://doi.org/10.1007/s00270-011-0327-3
- Tingerides, C., Annamalai, G., Comin, J. M., Kaduri, S., Pugash, R., & David, E. (2016). Percutaneous Recanalization of Iliac Artery Occlusions by Radiofrequency Perforation: Initial Experience. J Vasc Interv Radiol, 27(1), 68-72. https://doi.org/10.1016/j.jvir.2015.09.019
- Yee N, D. J. (2014). Extravascular Reconstruction of a Chronic Central Venous Occlusion. ENDOVASCULAR TODAY
- Majdalany, B. S., Monfore, N., Khaja, M. S., & Williams, D. M. (2018). Radiofrequency wire recanalization of chronically occluded venous stents: A retrospective, single-center experience in 15 patients. CardioVascular and Interventional Radiology, 42(1), 130–136. https://doi.org/10.1007/s00270-018-2076-z
- Shapiro, J. N., Neville, E., Robertson, B., Rucker, L. G., Fellner, A. N., Kuhn, B. F., Recht, M., Kulwicki, A., Broering, M., & Muck, P. (2022). Novel therapy for recanalization of chronic iliocaval venous occlusion using radiofrequency. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 10(6), 1288–1293. https://doi.org/10.1016/j.jvsv.2022.07.005
- Clark TWI., Moawad, S., Vance, A.Z., Cobb, R.M. et al. Radiofrequency guidewire-facilitated recanalization of chronic thoracic central venous occlusions in hemodialysis patients. CVIR Endovasc 7, 10 (2024). https://doi.org/10.1186/s42155-023-00422-6
- Neidert, N. B., & Bjarnason, H. (2019). Effectiveness of the PowerWire Radiofrequency Guidewire in recanalizing chronically occluded iliac venous stents. Journal of Vascular Surgery. Venous and Lymphatic Disorders, 7(2), 299–300. https://doi.org/10.1016/j.jvsv.2019.01.033
- Tavallaei, M. A., Zhou, J. J., Roy, T. L., & Wright, G. A. (2018). Performance Assessment of a Radiofrequency Powered Guidewire for Crossing Peripheral Arterial Occlusions Based on Lesion Morphology . Ann Biomed Eng, 46(7), 940-946. https://doi.org/10.1007/s10439-018-2021-y
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Low impedance
