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how to train your technique of manipulating the guide wire you have to insert a guide wire into the coronary artery to perform pci branch selection is important technique in order to lead the wire to the distal of the target lesion sometimes you need to cross the tight lesion without a guide wire you cannot insert any pci devices that is a balloon catheter or coronary stent when you insert a balance catheter you have to avoid a guide wire from going to distally after balan deflation you need to pull back the balloon catheter you have to grip the guide wire tight not to move proximally proximal of the dilated lesion it is difficult to reinsert the wire because of some dissection caused by ballooning never pull out the guide wire until the target lesion is completely treated by a stent or like that we have three tools to learn wiring technique pci trainers and details coronary intervention is one of the most important therapies for patients with coronary heart disease while surgeons are
