Fig. 3. A Levine tube being converted into an over-the-wire system. (A) A hole is drilled into the distal tip using a 16-gauge needle (arrow). (B) Levine tube (arrow) is loaded onto the guide wire (arrowhead) using the newly created hole in the distal tip. (C) The guide wire is passed out through an angiocatheter (arrow) that has been placed at 50 cm (dashed circle) from the distal tip.
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