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CardioVascular and Interventional Radiology

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01-02-2018 | Technical Note

Longitudinal Cracking with a Guidewire Tail for Extremely Calcified Lesions in Infrainguinal Arteries: PICKING Technique

Authors: Osami Kawarada, Teruo Noguchi, Satoshi Yasuda

Published in: CardioVascular and Interventional Radiology | Issue 2/2018

Abstract

Purpose

To report a percutaneous intravascular cracking with a guidewire tail (PICKING) technique to longitudinally crack the underlying calcification and facilitate the balloon catheter passage for the treatment of severely calcified chronic occlusions in the infrainguinal artery.

Materials and Methods

Three patients underwent PICKING technique between November 2014 and March 2017. The PICKING technique with the stiff tail of 0.018-inch guidewire in the straight configuration was considered in cases of failed passage of the smallest balloon catheter because of the underlying severely calcified occlusion following passage of 0.014-inch guidewire.

Results

All three patients were complicated by end-stage renal disease on hemodialysis. Treated vessels were superficial femoral artery in two cases and anterior tibial artery in one case. In all cases, successful passage and dilatation of the balloon catheter were achieved, and significant improvements in clinical symptoms were observed following subsequent optimal balloon angioplasty or stenting.

Conclusions

The PICKING technique could increase the potential of endovascular solution for the treatment of severely calcified chronic occlusions in the infrainguinal artery.

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Title: Longitudinal Cracking with a Guidewire Tail for Extremely Calcified Lesions in Infrainguinal Arteries: PICKING Technique
Authors: Osami Kawarada
Teruo Noguchi
Satoshi Yasuda
Publication date: 01-02-2018
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 2/2018
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-017-1780-4

ACC 2024 Congress

Springer Medicine

Longitudinal Cracking with a Guidewire Tail for Extremely Calcified Lesions in Infrainguinal Arteries: PICKING Technique

Abstract

Purpose

Materials and Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Purpose

Materials and Methods

Results

Conclusions

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