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Fig. 2 | CVIR Endovascular

Fig. 2

From: Direct bare metal needle puncture and balloon angioplasty in calcified plaques of the common femoral artery guided by angiography (“BAMBOO SPEAR”)

Fig. 2

a, b Direct puncture from the distal CFA. c We succeeded in advancing the needle as it was and into the lumen of the distal external iliac artery. d–f A 0.014-in. guidewire was inserted from behind the needle and the guidewire was advanced into the guiding sheath to make it externalized. g We dilated a 3.0 × 40-mm balloon. h IVUS shows the guidewire passed through the center of a calcified plaque. i, j We dilated the scoring balloon and drug-coated balloon

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