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Updated: Sep 26, 2025

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Optimization of the Longa Middle Cerebral Artery Occlusion Method for Complete Reperfusion
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Guide-Extension Carlino: A novel technique for crossing a microcatheter uncrossable proximal cap during chronic total
Judit Karacsonyi1, Emmanouil S Brilakis1, Raj H Chandwaney2
1Minneapolis Heart Institute, Minneapolis Heart Institute Foundation, Minneapolis, Minnesota, USA.
Abstract:
Balloon and microcatheter uncrossable chronic total occlusions can be challenging to treat. We present a novel technique for treating such lesions through contrast injection via a guide catheter extension wedged against the proximal cap. We named this technique "guide-extension Carlino."
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