| CPC A61B 18/1492 (2013.01) [A61B 2018/00184 (2013.01); A61B 2018/00404 (2013.01); A61B 2018/00601 (2013.01); A61B 2018/1475 (2013.01)] | 20 Claims |

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1. A system for forming a fistula between two vessels, the system comprising a first catheter, the first catheter comprising:
a catheter shaft with a housing;
an electrode disposed at least partially within the housing, the electrode comprising a distal portion, a proximal portion and an intermediate portion therebetween for contacting a vessel wall and forming the fistula; and
a plurality of teeth for cutting a venous valve, wherein the plurality of teeth extend radially from the catheter shaft and are angled in a proximal direction, wherein each of the plurality of teeth includes a radially outer atraumatic surface.
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