Clinical utility of 0.025-inch guidewire VisiGlide2TM in the endoscopic retrograde cholangiopancreatography-related procedures

Figure 1 0. 025-inch guidewire VisiGlide2^TM. The tip of hydrophilic coating is flexible.

Figure 2 Comparison between 0. 025-inch guidewire VisiGlide2^TM, 0.025-inch guidewire VisiGlide^TM, and 0.035 inch guidewire. Although it has thinness of 0.025-inch (0.63 mm), its special processing method ensures rigidity equivalent to that of 0.035 inch (0.89 mm). GW: Guidewire.

Figure 3 Result of use of 0. 025-inch guidewire VisiGlide2^TM in the endoscopic retrograde cholangiopancreatography as the first choice. ERCP: Endoscopic retrograde cholangiopancreatography; TPPP: Transpancreatic precut papillotomy; PTGBD: Percutaneous transhepatic gallbladder drainage; GW: Guidewire.

Figure 4 Although it has thinness of 0. 025-inch (0.63 mm), its special processing method ensures rigidity equivalent to that of 0.035 inch (0.89 mm). A: 0.025-inch guidewire (GW) VisiGlide2^TM placed in the bile duct (arrow)/pancreatic duct (arrow head). The visibility is good under endoscopy; B: 0.025-inch GW VisiGlide2^TM placed in the bile duct (arrow)/pancreatic duct (arrow head). The visibility is good under radiography.

Figure 5 Placement of metallic stent using 0. 025-inch guidewire VisiGlide2^TM. It was possible to break through the stenosis, to induce delivery and to place stents only with this guidewire.