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Fig. 1 | CVIR Endovascular

Fig. 1

From: Rendezvous-PIERCE technique: establishing a channel through severe calcification in infrainguinal arterial lesions using needle rendezvous

Fig. 1

Rendezvous-PIERCE technique for anterior tibial artery calcified occlusion. A Initial angiography showing below-the-knee calcified occlusions. B Retrograde insertion of a 20-gauge needle toward the antegrade guidewire. C Precise alignment of the needle with the tip of the antegrade guidewire. D Execution of the needle rendezvous technique. E Implementation of the inner PIERCE technique. F Post-procedure angiogram revealing successful revascularization without complications

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