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Fig. 1B. —Catheter system for manual fragmentation of pulmonary thromboembolism. Photograph shows 260-cm guidewire (Radifocus, Terumo), proximal tip of which is inserted into most proximal side hole of curved pigtail catheter. Catheter is first inserted over guidewire and through pulmonary artery sheath and is then withdrawn, leaving guidewire in peripheral pulmonary artery.