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PowerWire® RF Guidewire

Cross complete occlusions with controlled radiofrequency puncture technology 

The PowerWire® RF Guidewire is cleared by FDA to create a channel in totally occluded peripheral vessels 3 mm or greater.

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Cross chronic venous occlusions

When a standard guidewire fails, channel through using the PowerWire® RF Guidewire

Overcome barriers to venous access

Up to 24%

CVOs Resistant to Standard techniques

Up to 24% of occlusions cannot be crossed with conventional recanalization techniques,1 leading to either prolongation or worsening of patient symptoms.2-4 These refractory cases present a formidable challenge to endovascular interventionalists & prevent patients from receiving the treatment they need.1-2

Witness the transformation

88%

Success rate with PowerWire® RF Guidewire
In the face of 100% failure with standard tools, PowerWire® RF Guidewire achieved an 88% success rate, ensuring patients receive the crucial treatments they need.1-11

Witness the transformation

88%

Success rate with PowerWire® RF Guidewire

In the face of 100% failure with standard tools, PowerWire® RF Guidewire achieved an 88% success rate, ensuring patients receive the crucial treatments they need.1-11

Safely cross occlusions using RF Puncture Technology

RF Puncture Technology

Creates a small opening in tissue with minimal damage to surrounding area
High impedance High voltage Short RF delivery time
Low power Small active tip

How does RF puncture differ from RF ablation?

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.

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Play Video

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.

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Play Video

Part 2: Tools and Room Preparation

Review tools, equipment, and room setup to facilitate a successful procedure.

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Play Video

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”).

Play Video
Play Video

Part 4: Addressing Complex Lower Extremity Occlusions

Review advanced techniques when approaching challenging lower extremity venous occlusions for safe and effective intervention.

Ordering Information

Product Code Tip Strength Tip Shape
EWK35-250-08-6S
50 g
Straight
EWK35-250-10-6S
75 g
EWK35-250-12-6S
110 g
EWK35-250-12-6A-20-05
110 g
Angled 20°
EWK35-250-12-6A-30-05
110 g
Angled 30°

EWK35-250-12-6A-40-12

110 g

Angled 40°

Resource Library

Browse content specific to this product, such as brochures, publications, white papers, IFUs, videos and other product information.

Powerwire Brochure
Management of Central Venous Stenosis and Occlusion in Dialysis Patients
Powerwire IFU
Powerwire IFU (CE Mark)
EWK-E PDF
Thoracic central venous occlusion from the interventional radiology perspective
Single-Center Retrospective Review of Radiofrequency Wire Recanalization of Refractory Central Venous Occlusions
Radiofrequency wire for the recanalization of central vein occlusions that have failed conventional endovascular techniques
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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?

References:

  1. 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.
  2. 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

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References:

  1. 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.
  2. 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
  3. 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.
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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.
  11. Yee N, D. J. (2014). Extravascular Reconstruction of a Chronic Central Venous Occlusion. ENDOVASCULAR TODAY

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Maximum Outer Diameter

Handles like a conventional 0.035″ guidewire. Allows for use with third party, over the wire devices such as venous thrombectomy devices.

Length

Allows for use with third party, over the wire devices such as venous thrombectomy devices.

Visibility

Powerwire fluoroscopy image showing 5 radiopaque

Image courtesy of Dr. Kundu

Radiopaque tip and five radiopaque marker bands (1 cm apart) for visibility under fluoroscopy.

Tip Shapes

Straight

Angled 20°

Angled 30°

Angled 40°

Tip Strength

Increasing tip strength corresponds to increasing stiffness

RF puncture creates a small opening in tissue with minimal surrounding tissue damage. RF Ablation creates a large lesion to destroy electrically conductive tissue. RF Ablation uses:
   Low impedance    Low voltage    Longer RF delivery time
   High power    Large active tip