A patent pending medical device that avoids a step existing subintimal angioplasty (SIA) devices require that often fails. SIA devices create a channel between the intimal and medial layers of artery wall that bypasses occlusions in chronic totally occluded (CTO) arteries. CTOs constitute 1/3rd of 2 million occlusions treated each year and CTOs can't be entered by normal angioplasty balloons. Existing SIA devices must first find the artery lumen then pierce the intimal layer with a hollow needle before a guidewire is advanced through the needle to re-enter artery lumen. A balloon is advanced on guidewire and inflated to push aside the occlusion. They fail to find the lumen so often that they have captured less than 10% of 700,000 potential cases. Our SIA device avoids the problem by having a stylet wire inside the guidewire allowing the balloon to be inflated first. This aligns axes of device and lumen so stylet wire pierces the intimal layer straight ahead where lumen is located.