DEVICE GUIDE > CTO Crossing Devices

Company Name Product Name Catheter Size (F) Wire Size (inch) Working Length (cm) Minimum Guiding Catheter ID (inch) Comments
Avinger, Inc. Kittycat 2 5 0.014 150 Peripheral OTW CTO crossing catheter; catheter shaft is preshaped for better steerability in the most tortuous anatomy; Juicebox compatible
Avinger, Inc. Ocelot 6 0.014 110 Peripheral OTW CTO crossing catheter with a fluted tip and onboard real-time OCT intravascular imaging for precise catheter navigation
Avinger, Inc. Ocelot MVRX 6 0.014 110 Peripheral OTW CTO crossing catheter with a wedged tip and onboard real-time OCT intravascular imaging for precise catheter navigation
Avinger, Inc. Ocelot PIXL 5 0.014 135 Peripheral OTW CTO crossing catheter with onboard real-time OCT intravascular imaging for precise catheter navigation and extra length for distal lesion access
Avinger, Inc. Wildcat 6 0.035 110 Peripheral OTW CTO crossing catheter with six different modes of operation to cross any lesion; Juicebox compatible
Bard Peripheral Vascular, Inc. Crosser 14S 5 0.014 106, 146 0.067 Recanalizes CTOs through ultrasonic mechanical vibration and cavitation; includes the GeoAlign Marketing System; compatible with Sidekick Support Catheter; available in OTW and RX configurations
Bard Peripheral Vascular, Inc. Crosser S6 5 106, 154 0.055 Recanalizes CTOs through ultrasonic mechanical vibration and cavitation; includes the GeoAlign Marking System; compatible with Usher Support Catheter
Baylis Medical Company, Inc. PowerWire Radiofrequency Guidewire 0.035 250 0.035 Nitinol core guidewire with PTFE coating and tapered distal end with active tip capable of delivering RF Puncture energy; radiopaque tip plus five markerbands with 1-cm spacing; straight and angled-tip models available; compatible with any 0.035-inch compatible guide catheters
Boston Scientific Corporation OffRoad Re-entry Catheter System 6 0.035 (catheter)/0.014 (lancet) 70, 100 0.079 A two-component system: OTW catheter with a 5.4-mm, conical-shaped, balloon designed to preferentially inflate toward the true lumen, accommodates 0.035-inch guidewires and microcatheter lancet; microcatheter lancet used to advance into the true lumen, accommodates 0.014-inch guidewires and contrast
Boston Scientific Corporation TruePath CTO Device 1.4 0.018 165 0.018 Creates a microdissection through CTOs via powered rotation of a diamond-coated, 0.017-inch, rotating ablative tip; 0.018-inch (1.4 F) shaft profile; shaping tool allows for 15º angle; extension capability to 335 cm; compatible with any 0.018-inch compatible catheters ≤ 135 cm
Cook Medical Approach CTO Microwire Guide 0.014 135, 190, 300 0.014 6-, 12-, 18-, and 25-G tip loads for crossing chronic total occlusions
Cook Medical TriForce Peripheral Crossing Set 4 inner catheter, 5 outer sheath, tapering to 4 (0.035-inch wire) 0.035 65, 100 0.052 Coaxial peripheral crossing set; both inner catheter and outer sheath are hydrophilically coated; inner catheter is braided with radiopaque tip; outer sheath is coil reinforced to provide exceptional tracking through tortuous anatomy; a tungsten loaded tip on the outer sheath aids push ability and adds radiopacity; outer sheath is tapered down to inner catheter to provide additional support, strength, and pushability across any challenging lesion
Cordis, a Cardinal Health company Elitecross Support Catheter 4.5 0.035 82, 132 0.078 Extra support and angled crossing catheters provide support and pushability for a tailored approach to tough lesions; extra large lumen can accommodate 0.014-inch support catheter systems
Cordis, a Cardinal Health company Frontrunner XP CTO Catheter 3.1 90, 140 0.039 Actuating distal tip creates a channel through occlusions via blunt microdissection
Cordis, a Cardinal Health company Micro Guide Catheter 4.5 82, 132 0.078 Support catheter for use with 90- or 140-cm Frontrunner XP CTO catheter
Cordis, a Cardinal Health company Outback Elite Re-Entry Catheter 5.9 0.014 80, 120 0.079 Enables reentry of a guidewire from the subintimal space back into the true lumen via re-entry cannula and highly visible L and T markers
Medtronic Enteer Re-entry System, Catheter 4.8 0.018 135, 150 0.066 Re-entry catheter designed with a unique flat balloon to self-orient in the subintimal space and easily target the true lumen using the Enteer Guidewire; catheter available in two sizes for above- and below-the-knee use
Medtronic Enteer Re-entry System, Guidewire 0.014 300 Specialized guidewire designed to target Enteer catheter exit ports and engage and penetrate tissue for re-entry into the true lumen from a subintimal position; available in three levels of stiffness (flexible, standard, stiff) for use across a range of peripheral vessels
Medtronic TrailBlazer Angled Support Catheter 2.6 0.018 90, 135, 150 0.055 A braided, low-profile hydrophilic catheter that provides optimized support for increased pushability in difficult to access and cross lesions
Medtronic TrailBlazer Angled Support Catheter 4 0.035 65, 90, 135, 150 0.055 A braided, low-profile hydrophilic catheter that provides optimized support for increased pushability in difficult to access and cross lesions
Medtronic TrailBlazer Angled Support Catheter 2.3 0.014 90, 135, 150 0.055 A braided, low-profile hydrophilic catheter that provides optimized support for increased pushability in difficult to access and cross lesions
Medtronic TrailBlazer Support Catheter 5 0.035 65, 90, 135, 150 0.066 A seamless, low-profile catheter that provides optimized support for increased pushability in difficult to cross lesions
Medtronic TrailBlazer Support Catheter 4 0.014 135, 150 0.045 A seamless, low-profile catheter that provides optimized support for increased pushability in difficult to cross lesions
Medtronic TrailBlazer Support Catheter 4 0.018 90, 135, 150 0.045 A seamless, low-profile catheter that provides optimized support for increased pushability in difficult to cross lesions
Medtronic Viance Crossing Catheter 2.9 0.014 150 0.066 Low-profile peripheral CTO crossing catheter with atraumatic distal tip; device operates via physician-controlled torque handle for fast manual spinning; the spinning motion created by the torque device allows the catheter tip to find its way through the lesion; available in flexible and standard stiffness
Philips Pioneer Plus Intravascular Ultrasound Guided Re-Entry Catheter 6 0.014 120 0.087 Peripheral re-entry catheter that utilizes IVUS guidance to precisely target re-entry into the true lumen
Ra Medical Systems, Inc. DABRA Catheter and Laser 5 150 0.07 Used with introducer, sheath, or guiding catheter; minimum vessel diameter: 2 mm
Reflow Medical, Inc Wingman14 Crossing Catheter 2.7 0.014 65, 135, 150 0.035 Consists of a low-profile catheter, with a unique radiopaque guide tip (extendable tip), and activating handle used to help facilitate guidewire crossing of lesions; the through-lumen of the device also provides a conduit for the delivery of saline solutions or diagnostic and therapeutic agents
Reflow Medical, Inc Wingman14C Crossing Catheter 2.7 0.014 90, 135, 150 0.035 Consists of a low-profile catheter, with a unique radiopaque guide tip (extendable tip), and activating handle used to help facilitate guidewire crossing of lesions; the through-lumen of the device also provides a conduit for the delivery of saline solutions or diagnostic and therapeutic agents
Reflow Medical, Inc Wingman18 Crossing Catheter 3.8 0.018 90, 135, 150 0.050 Consists of a low-profile catheter, with a unique radiopaque guide tip (extendable tip), and activating handle used to help facilitate guidewire crossing of lesions; the through-lumen of the device also provides a conduit for the delivery of saline solutions or diagnostic and therapeutic agents
Reflow Medical, Inc Wingman35 Crossing Catheter 4.6 0.035 65, 90, 135 0.060 Consists of a low-profile catheter, with a unique radiopaque guide tip (extendable tip), and activating handle used to help facilitate guidewire crossing of lesions; the through-lumen of the device also provides a conduit for the delivery of saline solutions or diagnostic and therapeutic agents
Roxwood Medical, a BTG International group company CenterCross 5.5 tapered tip 0.014, 0.018, 0.035 125 0.078 Offers a 3-F central lumen that is centered and anchored proximal to the target using a resheathable NiTi scaffold; this temporary self-expanding scaffold provides maximum antegrade support for guidewires and microcatheters crossing arterial blockages
Roxwood Medical, a BTG International group company Micro 14 2.5 (1.6 at tip) 0.014 155 0.039 Ultra-low-profile torquable microcatheter with a unique variable pitch braid, serene hydrophilic coating, and highly tapered tip; designed to navigate and cross tortuous anatomy and complex lesions
Roxwood Medical, a BTG International group company Micro 18 2.9 (2 at tip) 0.018 155 0.039 Ultra-low-profile torquable microcatheter with a unique variable pitch braid, serene hydrophilic coating, and highly tapered tip; designed to navigate and cross tortuous anatomy and complex lesions
Roxwood Medical, a BTG International group company MultiCross 5.5 tapered tip 0.014 X 3 135 0.078 Utilizes a resheathable self-expanding scaffold to anchor and center three separate 0.014-inch wire lumens proximal of the target lesion to provide multiple wire options for antegrade wire escalation in complex coronary interventions
Spectranetics, a Philips company Quick-Access Needle Holder ≤ 0.035 23 Up to 0.035 Simplifies distal punctures for retrograde punctures, reduces, increase control and precision, and provides quick loading of guidewire into the vessel
Spectranetics, a Philips company Quick-Cross 1.8 distal tip (0.018-inch wire) 0.018 90, 135, 150 0.044 Low-profile, hydrophilic-coated, tapered-tip catheter provides seamless catheter-to-guidewire transition to facilitate crossing of challenging lesions and tracking through tortuous anatomy
Spectranetics, a Philips company Quick-Cross 3.1 distal tip (0.035-inch wire) 0.035 65, 90, 135, 150 0.063 Low-profile, hydrophilic-coated, tapered-tip catheter provides seamless catheter-to-guidewire transition to facilitate crossing of challenging lesions and tracking through tortuous anatomy
Spectranetics, a Philips company Quick-Cross 1.5 distal tip (0.014-inch wire) 0.014 135, 150 0.039 Low-profile, hydrophilic-coated, tapered-tip catheter provides seamless catheter-to-guidewire transition to facilitate crossing of challenging lesions and tracking through tortuous anatomy
Spectranetics, a Philips company Quick-Cross Capture 6 ≤ 0.035 110 Up to 0.035 The funnel makes guidewire retrieval and exchange easy, reliable, and safe especially during complex retrograde procedures
Spectranetics, a Philips company Quick-Cross Extreme 3.2 distal tip (0.035-inch wire) 0.035 65, 90, 135, 150 0.059 Low-profile tip, hydrophilic coating, and stainless steel braid provide increased strength, torque, and pushability to track through complex anatomy
Spectranetics, a Philips company Quick-Cross Extreme 2.1 distal tip (0.018-inch wire) 0.018 90, 135, 150 0.044 Low-profile tip, hydrophilic coating, and stainless steel braid provide increased strength, torque, and pushability to track through complex anatomy
Spectranetics, a Philips company Quick-Cross Extreme 1.9 distal tip (0.014-inch wire) 0.014 135, 150 0.042 Low-profile tip, hydrophilic coating, and stainless steel braid provide increased strength, torque, and pushability to track through complex anatomy
Spectranetics, a Philips company Quick-Cross Select 1.9 distal tip (0.014-inch wire) 0.014 135, 150 0.042 Angled and low-profile tip, hydrophilic coating, and stainless steel braid provide increased strength, torque, pushability, and allows the ability to navigate through complex anatomy
Spectranetics, a Philips company Quick-Cross Select 3.2 distal tip (0.035-inch wire) 0.035 65, 90, 135, 150 0.059 Angled and low-profile tip, hydrophilic coating, and stainless steel braid provide increased strength, torque, pushability, and allows the ability to navigate through complex anatomy
Spectranetics, a Philips company Quick-Cross Select 2.1 distal tip (0.018-inch wire) 0.018 90, 135, 150 0.044 Angled and low-profile tip, hydrophilic coating, and stainless steel braid provide increased strength, torque, pushability, and allows the ability to navigate through complex anatomy
ThermopeutiX, Inc. Primi Contrast-Sparing Support Catheter 2–3 distal tip (0.014–0.035-inch wire) 0.014–0.035 90–170 0.065–0.081 Shapeable tip, hydrophilic support catheter with ability to inject contrast and other agents locally without removing guidewire
ThermopeutiX, Inc. Secondi Contrast-Sparing Support Catheter 2 distal tip 0.014–0.035 90–170 0.087–0.095 Shapeable tip, dual-wire hydrophilic support catheter with ability to inject contrast and other agents locally without removing guidewire

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