POSSIBILITIES PURSUED. LIVES SAVED.

GENDER: Female

AGE: 87 years old

DEVICE: Wingman™

• Past history of high blood pressure, hyperlimidemia, CAD with prior coronary artery bypass graft surgery, ischemic cardiomyopathy with implantable cardioverter defribillator (ICD), stage 3 chronic kidney disease (CKD), S/P left carotid endarterectomy (CEA), Afib, diabetes mellitus, mitral regurgitation, prior smoking with COPD, S/P multiple LE interventions to the left SFA, popliteal, tibial-peroneal trunk, plaque rupture, AT stents

• Now with CLI manifested by rest pain, found to have occlusion of left SFA and pop stents by duplex

• Crossed with Wingman™ catheter after unsuccessful attempts with several wires

• Final angiograms show restored flow

GENDER: Female

AGE: 67 years old

DEVICE: Spex™

• Diabetes; Hypertension; Dyslipidemia

• Prior IVC Filter Placement 1 Year Ago

• Prior LE DVT

• Presents with Massive Bilateral Lower Extremity Swelling > 4 Weeks

GENDER: Female

AGE: 74 years old

DEVICE: Spex™

• Part of the First Response Team at Chernobyl

• Now Aggressive Metastatic Lung Cancer

• Recurrent SVC Syndrome

• Prior Left Innomoniate Stent.

• Prior PTA of Right Innominate/Subclavian.

• Recurrent Symptoms Consistent with Right Sided Occlusion

GENDER: Male

AGE: 60 years old

DEVICE: Spex™ 35 Catheter

• Severe bilateral LE swelling (recently worsening)

• Large varicosities

• Unable to walk across room without severe dyspnea

GENDER: Female

AGE: 60 years old

DEVICE: Spex 35 & Wingman 14C

• Severe RLE rest pain

• Ulcer on hallux

• Rutherford 5

• LE Duplex with 100% occlusion SFA with ABI 0.3

GENDER: Female

AGE: 72 years old

DEVICE: Spex 35 & Wingman 14C

• Severe RLE rest pain

• Rutherford 4

• LE Duplex with 100% occlusion SFA with ABI 0.4

GENDER: Female

AGE: 70 years old

DEVICE: Spex 35 & Wingman 14C

• Severe RLE rest pain

• Rutherford 5

• Ulceration of the calf

• LE Duplex with 100% occlusion SFA with ABI 0.4

GENDER: Male

AGE: 72 years old

DEVICE: Wingman™

• Moderate to heavily calcified >250 mm SFA occlusion.

• Time to cross <5 minutes.

GENDER: Male

AGE: 37 years old

DEVICE: Wingman™

• Heavily calcified > 100 mm iliac occlusion

• Time to cross < 5 minutes

GENDER: Male

AGE: 79 years old

DEVICE: Wingman™

• Moderately calcified > 150 mm SFA occlusion

• Time to cross < 5 minutes

GENDER: Male

AGE: 68 years old

DEVICE: Wingman™

• Heavily calcified > 200 mm SFA occlusion

• Time to cross < 5 minutes

GENDER: Male

AGE: 75 years old

DEVICE: Wingman™

• Heavily calcified > 75 mm SFA occlusion (retrograde approach)

• Time to cross < 5 minutes

GENDER: Male

AGE: 57 years old

DEVICE: Wingman™

• Smoker with high blood pressure, hyperlimpidemia

• S/P traversal of left popliteal/TPT occlusion with stent placed in 2017

• Recurrent left calf claudication with duplex confirming occluded stent

• Wingman™ intraluminal crossing; laser PTA and DCB

• CTA of restored distal runoff

GENDER: Male

AGE: 86 years old

DEVICE: Wingman™

• Smoker with high blood pressure, hyperlipidemia; CAD with remote stents in the past and known abdominal aortic aneurysm

• Referred by podiatrist for non-healing ulcer of the left foot

• Angiogram shows severe iliac tortuosity; antegrade CFA access to occluded popliteal aneurysm; severe 3VD

• Wingman™ used to cross pop aneurysm; IVUS indicated thrombosis, DES stents dilation

• Restored 2-vessel runoff to foot

GENDER: Male

AGE: 65 years old

DEVICE: Wingman™

• Smoker with high blood pressure, hyperlipidemia presented with severe left calf claudication that progressed to rest pain of the left hallux

• PVRs showed severe popliteal and infra-popliteal disease; referred for angiography

• Wingman™ used to cross the popliteal; IVL with integrated balloon

• Performed PTA and placed Tigris® stent

• Final angiography shows no residual stenosis and brisk flow

GENDER: Female

AGE: 62 years old

DEVICE: Wingman™

• Prior tobacco use, high blood pressure, hyperlimidemia, gastroesophageal reflux disease (GERD), hypothyroidism

• Presented with severe right calf claudication and right ABI of 0.5 duplex showing right popliteal occlusion

• Wingman™ catheter successfully crossed into anterior tibial enabling laser angioplasty

• Angiogram showing good result after percutaneous transluminal angioplasty (PTA) with drug-coated balloon (DCB) and stenting

GENDER: Male

AGE: 75 years old

DEVICE: Wingman™

• Former smoker with high blood pressure, hyperlimidemia, prostate cancer, NIDDM, CAD with prior right occluded artery percutaneous coronary intervention (PCI) in 2011

• S/P left CFA endarterectomy in 2016 but severe left calf claudication due to long-calcified SFA CTO

• Wingman™ catheter used to traverse densely calcified SFA/AK popliteal CTO

• PTA SFA/pop to deliver re-entry device; DCB

• Final angiograms show distal runoff

GENDER: Male

AGE: 57 years old

DEVICE: Wingman™

• Smoker with high blood pressure, hyperlipidemia, moderate CAD; by cath, presents with severe right calf claudication that has progressed to occasional nocturnal rest pain

• Seen by local vascular surgeon who performed angiography confirming right popliteal occlusion

• Fem-tib bypass recommended; came for a second opinion

• Successful Wingman™-assisted antegrade AT access

• Laser Pop/AT, PT wire crossing, laser TPT/PT

• IVL, balloon, drug-eluting stent and DCB

• Successful 3-vessel runoff on what was previously completely occluded

“If you can’t cross it, you can’t fix it!” Thank you, Wingman!

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