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

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.