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Artery knuckle wire technique longitudinal cut Illustration and Icon
Artery knuckle wire technique longitudinal cut
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Longitudinal schematic of an artery illustrating the knuckle wire technique in endovascular therapy. A guidewire forms a looped “knuckle” advancing through the subintimal plane alongside a yellow atherosclerotic occlusion, with the true lumen narrowed distally. Within the vascular system, this device-in-artery hierarchy is used in interventional radiology/vascular surgery to safely traverse a chronic total occlusion (CTO, chronic total occlusion) before angioplasty or stent placement.
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