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<p>The use of a 4-F platform is increasingly used during peripheral arterial interventions, with most of the devices now being compatible with 0.018″ and 0.014″ wires. Unexpected complications/procedural steps during such procedures can require sudden sheath upsize. In this occasion, to maintain the original low-profile guidewire(s), usually positioned across the target lesion(s), can be extremely important. Hereby we describe a technique to safely allow bailout sheath upsizing without losing access to the target lesion(s), which can be applied in a various number of clinical scenarios.</p>

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Unity makes strength: multi-wire technique for bailout sheath upsizing during endovascular revascularisations

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月4日

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  • Lorenzo Patrone,
  • Gianmarco Falcone,
  • Emiliano Chisci,
  • Azzurra Guidotti,
  • Isabelle Van Herzeele,
  • Stefano Michelagnoli

摘要

The use of a 4-F platform is increasingly used during peripheral arterial interventions, with most of the devices now being compatible with 0.018″ and 0.014″ wires. Unexpected complications/procedural steps during such procedures can require sudden sheath upsize. In this occasion, to maintain the original low-profile guidewire(s), usually positioned across the target lesion(s), can be extremely important. Hereby we describe a technique to safely allow bailout sheath upsizing without losing access to the target lesion(s), which can be applied in a various number of clinical scenarios.