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Microchannel-Guided Revascularization of Tibial Chronic Total Occlusions Using a 0.009-Inch Tapered-Tip Guidewire

Shadi Halabi1, Ameer Odeh2, Elizabeth Fesko3

  • 1Department of Cardiology, Community Hospital, Powers Health, Munster, Indiana; Indiana University School of Medicine, Indianapolis, Indiana.

The American Journal of Cardiology
|April 30, 2026
PubMed
Summary

A novel 0.009-inch tapered-tip guidewire successfully revascularized tibial chronic total occlusions (CTOs) in a patient with chronic limb-threatening ischemia. This technique enabled limb salvage by navigating complex CTOs previously resistant to standard guidewires.

Keywords:
chronic limb-threatening ischemiachronic total occlusionguidewire techniquesperipheral artery diseasetibial intervention

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