A blunt needle endoluminal cracking over the strained through-and-through wire for balloon crossing the heavy calcification and chronic total occlusion in critical limb ischemia

Horsirimanont S.Kittitirapong N.Mahidol University2025-01-232025-01-232025-04-01Journal of Vascular Surgery Cases, Innovations and Techniques Vol.11 No.2 (2025)https://repository.li.mahidol.ac.th/handle/20.500.14594/102794The Achilles heel of revascularization in chronic limb-threatening ischemia is that a balloon is sometimes unable to cross the severely calcified below-the-knee lesion. We presented a new technique for crossing this lesion using the blunt needle endoluminal cracking over the strained through and through wire (BECOST) technique.MedicineA blunt needle endoluminal cracking over the strained through-and-through wire for balloon crossing the heavy calcification and chronic total occlusion in critical limb ischemiaArticleSCOPUS10.1016/j.jvscit.2024.1017122-s2.0-8521456885024684287