Figure 3. Description of the “thrombus aspiration catheter-assisted twisting wire technique”.

(A): Advance the first guidewire (black) through the embolus; (B): advance the aspiration catheter over the wire and shape the head of the second guidewire (blue) into a “3D” pattern. Advance the second guidewire through the embolus as far as possible with the assistance of the thrombus aspiration catheter; (C): pull back the aspiration catheter into the guiding catheter; (D): rotate the second guidewire continuously in one direction; (E): withdraw the twisted guidewires with the retrieved embolus into the guiding catheter and pull the guiding catheter out; and (F): final results.