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83 ± 0.30 2.48 ± 0.26 mm, 0.05) and longer subintimal angioplasty (0.59 ± 0.16 0.92 ± 0.12 mm, 0.05). Also, the common use of a Stingray balloon and guide catheter extension resulted in improvement of patients in the modified SMP group (12.5% 100%, 0.05). Modified SPM, which is associated with a high likelihood of successful recanalization, is an effective and safe CTO PCI bail out strategy. Modified SPM, which is associated with a high likelihood of successful recanalization, is an effective and safe CTO PCI bail out str