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. 2017 Jan 31;18:104–109. doi: 10.12659/AJCR.902178

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© Am J Case Rep, 2017

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Figure 2. — Case #1. (A) Dual-catheter injection demonstrated a long CTO lesion length (arrows). (B) Difficult take-off due to proximal 45° bend (arrow). (C) Proximal CTO cap was tackled using a Fielder XT-A guidewire and a Corsair microcatheter (Asahi Intecc Co.). (D) Retrograde contrast injection showed the misplaced guidewire. (E) The Stingray LP catheter could be advanced up to the distal target re-entry zone (arrow). (F) Stingray puncture successfully performed using Stingray guidewire. (G) The Stingray guidewire was exchanged for a Pilot 200 (Abbott Vascular) guidewire (‘Stick-and-Swap technique’). (H) The CX was successfully stented.