A percutaneous intravascular cracking (PICKING) with a TruePath™ for extremely calcified lesions

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  1. 1.

    Kawarada O, Noguchi T, Yasuda S. Longitudinal cracking with a guidewire tail for extremely calcified lesions in infrainguinal arteries: PICKING technique. Cardiovasc Interv Radiol. 2018;41:313–6.

  2. 2.

    Funabashi S, Kawarada O, Yagyu T, Noguchi T, Yasuda S. The PICKING technique for self–expanding nitinol stent expansion of an extremely calcified lesion in the femoropopliteal artery: the tail makes the difference. Cardiovasc Interv Ther. 2019;34:74–5.

  3. 3.

    Ichihashi S, Sato T, Iwakoshi S, Hirofumi I, Kimihiko K. Technique of percutaneous direct needle puncture of calcified plaque in the superficial femoral artery or tibial artery to facilitate balloon catheter passage and balloon dilation of calcified lesions. J Vasc Interv Radiol. 2014;25:784–8.

  4. 4.

    Nakabayashi K, Ando H, Kaneko N, Shiozaki M, Sunaga D, Matsui A, et al. A novel lesion crossing technique: balloon deployment using FORcible Manner (BADFORM) technique. Catheter Cardiovasc Interv. 2017;90:1161–5.

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We would like to express our gratitude to Mr. John Martin for his grammatical assistance.



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Correspondence to Shinya Ikeda.

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Ikeda, S., Fukuhara, R., Nishimoto, Y. et al. A percutaneous intravascular cracking (PICKING) with a TruePath™ for extremely calcified lesions. Cardiovasc Interv and Ther (2019).

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