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Interventional Radiology
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Vascular
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Balloons
This short video illustrates the technique of subintimal angioplasty using a 4F angioplasty balloon and 018 guidewire (Biotronik Passeo 018). Normally I would start with an 035" guidewire for access, 4F sheath insertion and catheter insertion. The catheter is placed up against the edge of the occlusion/plaque. I then insert an 035" curved hydrophilic guidewire and start dissecting in the subintimal plane by pushing a loop of wire forward ahead of the catheter. The catheter and wire are then advanced together in the subintimal plane through the occlusion. When...
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