GENDER: Female
AGE: 87 years old
DEVICE: Wingman™
PHYSICIAN: Peter A. Soukas, MD, FACC, FSVM, FSCAI, FACP, RPVI
• 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™
PHYSICIAN: S. Jay Mathews, MD, MS, FACC
• 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™
PHYSICIAN: S. Jay Mathews, MD, MS, FACC
• 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
PHYSICIAN: S. Jay Mathews, MD, MS, FACC
• 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
PHYSICIAN: S. Jay Mathews, MD, MS, FACC
• 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
PHYSICIAN: S. Jay Mathews, MD, MS, FACC
• 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
PHYSICIAN: S. Jay Mathews, MD, MS, FACC
• 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™
PHYSICIAN: S. Jay Mathews, MD, MS, FACC
• Moderate to heavily calcified >250 mm SFA occlusion.
• Time to cross <5 minutes.
GENDER: Male
AGE: 37 years old
DEVICE: Wingman™
PHYSICIAN: S. Jay Mathews, MD, MS, FACC
• Heavily calcified > 100 mm iliac occlusion
• Time to cross < 5 minutes
GENDER: Male
AGE: 79 years old
DEVICE: Wingman™
PHYSICIAN: S. Jay Mathews, MD, MS, FACC
• Moderately calcified > 150 mm SFA occlusion
• Time to cross < 5 minutes
GENDER: Male
AGE: 68 years old
DEVICE: Wingman™
PHYSICIAN: S. Jay Mathews, MD, MS, FACC
• Heavily calcified > 200 mm SFA occlusion
• Time to cross < 5 minutes
GENDER: Male
AGE: 75 years old
DEVICE: Wingman™
PHYSICIAN: S. Jay Mathews, MD, MS, FACC
• Heavily calcified > 75 mm SFA occlusion (retrograde approach)
• Time to cross < 5 minutes
GENDER: Male
AGE: 57 years old
DEVICE: Wingman™
PHYSICIAN: Peter A. Soukas, MD, FACC, FSVM, FSCAI, FACP, RPVI
• 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™
PHYSICIAN: Peter A. Soukas, MD, FACC, FSVM, FSCAI, FACP, RPVI
• 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™
PHYSICIAN: Peter A. Soukas, MD, FACC, FSVM, FSCAI, FACP, RPVI
• 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™
PHYSICIAN: Peter A. Soukas, MD, FACC, FSVM, FSCAI, FACP, RPVI
• 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™
PHYSICIAN: Peter A. Soukas, MD, FACC, FSVM, FSCAI, FACP, RPVI
• 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™
PHYSICIAN: Peter A. Soukas, MD, FACC, FSVM, FSCAI, FACP, RPVI
• 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
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