Skip to main content

Advertisement

SpringerLink
Log in

Success rate of endovascular recanalization for femoropopliteal artery total occlusion using the wingman catheter system

  • Original Article
  • Published:
Heart and Vessels Aims and scope Submit manuscript

Abstract

Chronic total occlusion (CTO) in the femoropopliteal artery is challenging to treat. The Wingman catheter system is a novel device for CTO penetration with a nitinol/stainless steel beveled tip. There is a lack of real-world clinical data indicating the success rate. We evaluated the efficacy of the Wingman system. This was a single-center retrospective study. We enrolled 27 consecutives patients who underwent treatment for femoropopliteal CTO using the Wingman system in 2021. The primary outcome was success of CTO-crossing and secondary outcomes were success of the procedure, Wingman-related complications, and predictors for success of Wingman crossing. The mean age of the study population was 76 years and the mean CTO length was 122 mm. The success rate of Wingman crossing was 40.7% and the overall procedure success rate was 100%. Only one case of embolism and one of perforation associated with the Wingman procedure were seen; both were successfully recovered. Univariate analysis revealed in-stent occlusion and non-severe calcification to be factors associated with success (16.7% vs 0%, p = 0.012 and 12.5% vs 50.0%, p = 0.036, respectively). These real-world data of the Wingman system demonstrate it to be a safe and one of option for treating femoropopliteal CTO.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Ohkuma T, Ninomiya T, Tomiyama H, Kario K, Hoshide S, Kita Y, Inoguchi T, Maeda Y, Kohara K, Tabara Y, Nakamura M, Ohkubo T, Watada H, Munakata M, Ohishi M, Ito N, Nakamura M, Shoji T, Vlachopoulos C, Aboyans V, Yamashina A, collaborative group for the Japan Brachial-Ankle pulse wave VELocity individual participant data meta-analysis of prospective studies to examine the significance of the Ankle-Brachial Index (J-BAVEL-ABI) (2018) Ankle-brachial index measured by oscillometry is predictive for cardiovascular disease and premature death in the Japanese population: an individual participant data meta-analysis. Atherosclerosis 275:141–148

    Article  CAS  Google Scholar 

  2. Aboyans V, Ricco JB, Bartelink MEL, Björck M, Brodmann M, Cohnert T, Collet JP, Czerny M, De Carlo M, Debus S, Espinola-Klein C, Kahan T, Kownator S, Mazzolai L, Naylor AR, Roffi M, Röther J, Sprynger M, Tendera M, Tepe G, Venermo M, Vlachopoulos C, Desormais I, ESC Scientific Document Group (2018) 2017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European society for vascular surgery (ESVS): document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European stroke organization (ESO)The task force for the diagnosis and treatment of peripheral arterial diseases of the european society of cardiology (ESC) and of the European society for vascular surgery (ESVS). Eur Heart J 39(9):763–816

    Article  Google Scholar 

  3. Bausback Y, Botsios S, Flusx J, Werner M, Schuster J, Aithal J, Varcoe R, Bräunlich S, Ulrich M, Scheinert D, Schmidt A (2011) Outback catheter for femoropopliteal occlusions: immediate and long-term results. J Endovasc Ther 18(1):13–21

    Article  Google Scholar 

  4. Schmidt A, Bausback Y, Piorkowski M, Werner M, Bräunlich S, Ulrich M, Varcoe R, Friedenberger J, Schuster J, Botsios S, Scheinert D (2012) Retrograde recanalization technique for use after failed antegrade angioplasty in chronic femoral artery occlusions. J Endovasc Ther 19(1):23–29

    Article  Google Scholar 

  5. Baker AC, Humphries MD, Noll RE Jr, Salhan N, Armstrong EJ, Williams TK, Clouse WD (2015) Technical and early outcomes using ultrasound-guided reentry for chronic total occlusions. Ann Vas Surg 29(1):55–62

    Article  Google Scholar 

  6. Laird JR, Mathews SJ, Brodmann M, Soukas PA, Schmidt A (2021) Performance of the Wingman catheter in peripheral artery chronic total occlusions: short-term results from the international Wing-It trial. Catheter Cardiovasc Interv 97(2):310–316

    Article  Google Scholar 

  7. Aboyans V, Criqui MH, Abraham P, Allison MA, Creager MA, Diehm C, Fowkes FGR, Hiatt WR, Jönsson B, Lacroix P, Marin B, McDermott MM, Norgren L, Pande RL, Preux PM, Stoffers HE, Treat-Jacobson D (2012) Measurement and interpretation of the ankle-brachial index: a scientific statement from the American heart association. Circulation 126(24):2890–2909

    Article  Google Scholar 

  8. Rocha-Singh KJ, Zeller T, Jaff MR (2014) Peripheral arterial calcification: prevalence, mechanism, detection, and clinical implications. Catheter Cardiovasc Interv 83:E212–E220

    Article  Google Scholar 

  9. Fujihara M, Takahara M, Sasaki S, Nanto K, Utsunomiya M, Iida O, Yokoi Y (2017) Angiographic dissection patterns and patency outcomes after balloon angioplasty for superficial femoral artery disease. J Endovasc Ther 24(3):367–375

    Article  Google Scholar 

  10. Kanda Y (2013) Investigation of the freely available easy-to-use software “EZR” for medical statistics. Bone Marrow Transplant 48(3):452–458

    Article  CAS  Google Scholar 

  11. Fujihara M, Kurata N, Yazu Y, Mori S, Tomoi Y, Horie K, Nakama T, Tsujimura T, Nakata A, Iida O, Sonoda S, Torii S, Ishihara T, Azuma N, Urasawa K, Ohki T, Komori K, Kichikawa K, Yokoi H, Nakamura M (2022) Clinical expert consensus document on standards for lower extremity artery disease of imaging modality from the Japan endovascular treatment conference. Cardiovasc Interv Ther. https://doi.org/10.1007/s12928-022-00875-x

    Article  Google Scholar 

  12. Schwindt A, Reimers B, Scheinert D, Selmon M, Pigott JP, George JC, Robertson G, Janzer S, McDaniel HB, Shrikhande GV, Torsello G, Schaefers J, Saccà S, Versaci F (2013) Crossing chronic total occlusions with the Ocelot system: the initial European experience. EuroIntervention 9:854–862

    Article  Google Scholar 

  13. Laird J, Joye J, Sachdev N, Huang P, Caputo R, Mohiuddin I, Runyon J, Das T (2014) Recanalization of infrainguinal chronic total occlusions with the crosser system: results of the PATRIOT trial. J Invasive Cardiol 26:497–504

    Google Scholar 

  14. Jacobs DL, Motaganahalli RL, Cox DE, Wittgen CM, Peterson GJ (2006) True lumen re-entry devices facilitate subintimal angioplasty and stenting of total chronic occlusions: initial report. J Vasc Surg 43:1291–1296

    Article  Google Scholar 

  15. Banerjee S, Sarode K, Das T, Hadidi O, Thomas R, Vinas A, Garg P, Mohammad A, Baig MS, Shammas NW, Brilakis ES (2014) Endovascular treatment of infrainguinal chronic total occlusions using the TruePath device: features, handling, and 6-month outcomes. J Endovasc Ther 21:281–288

    Article  Google Scholar 

  16. Steiner S, Willfort-Ehringer A, Severrt H, Geist V, Lichtenberg M, Giudaice CD, Sauguet A, Diaz-Cartelle J, Marx C, Ströbel A, Shult I, Scheinert D (2018) 12-month results from the first-in-human randomized study of the ranger paclitaxel-coated balloon for femoropopliteal treatment. JACC Cardiovasc Interv 11(10):934–941

    Article  Google Scholar 

  17. Iida O, Takahara M, Soga Y, Yamaoka T, Fujihara M, Kawasaki D, Ichihashi S, Kozuki A, Nanto S, Sakata Y, Mano T (2022) 1-Year outcomes of fluoropolymer-based drug-eluting stent in femoropopliteal practice: predictors of restenosis and aneurysmal degeneration. JACC Cardiovasc Interv 15(6):630–638

    Article  Google Scholar 

  18. Iida O, Takahara M, Soga Y, Yamaoka T, Nanto S, Kuratani T, Sakata Y, Mano T (2021) One-year outcomes of heparin-bonded stent-graft therapy for real-world femoropopliteal lesions and the association of patency with the prothrombotic state based on the prospective, observational, multicenter viabahn stent-graft placement for femoropopliteal diseases requiring endovascular therapy (VANQUISH) study. J Endovasc Ther 28(1):123–131

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiology, Kishiwada Tokushukai Hospital, 4-27-1 Kamori-cho, Kishiwada, Osaka, 596-0042, Japan

    Tomofumi Tsukizawa, Masahiko Fujihara, Yuko Yazu, Tasuku Kozasa & Yuma Tanabe

Authors
  1. Tomofumi Tsukizawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Masahiko Fujihara
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yuko Yazu
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tasuku Kozasa
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Yuma Tanabe
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Tomofumi Tsukizawa.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tsukizawa, T., Fujihara, M., Yazu, Y. et al. Success rate of endovascular recanalization for femoropopliteal artery total occlusion using the wingman catheter system. Heart Vessels 38, 422–428 (2023). https://doi.org/10.1007/s00380-022-02175-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00380-022-02175-z

Keywords

Search

Navigation