Success rate of endovascular recanalization for femoropopliteal artery total occlusion using the wingman catheter system
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...
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| Veröffentlicht in: | Heart and vessels 2023-03, Vol.38 (3), p.422-428 |
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| creator | Tsukizawa, Tomofumi Fujihara, Masahiko Yazu, Yuko Kozasa, Tasuku Tanabe, Yuma |
| description | 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. |
| doi_str_mv | 10.1007/s00380-022-02175-z |
| format | Article |
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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.</description><identifier>ISSN: 0910-8327</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-022-02175-z</identifier><identifier>PMID: 36138266</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Aged ; Arterial Occlusive Diseases - diagnosis ; Arterial Occlusive Diseases - surgery ; Biomedical Engineering and Bioengineering ; Calcification ; Cardiac Surgery ; Cardiology ; Cardiovascular system ; Catheters ; Chronic Disease ; Complications ; Embolism ; Endovascular Procedures ; Femoral Artery - diagnostic imaging ; Humans ; Implants ; Medical instruments ; Medicine ; Medicine & Public Health ; Nickel titanides ; Occlusion ; Original Article ; Popliteal Artery - diagnostic imaging ; Popliteal Artery - surgery ; Population studies ; Retrospective Studies ; Stainless steel ; Stainless steels ; Success ; Treatment Outcome ; Vascular Surgery</subject><ispartof>Heart and vessels, 2023-03, Vol.38 (3), p.422-428</ispartof><rights>Springer Japan KK, part of Springer Nature 2022. 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.</rights><rights>2022. Springer Japan KK, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-498c8213153eb361dca1f7e8094ceb55de396b6be1bd0e42de659353c75c456f3</citedby><cites>FETCH-LOGICAL-c399t-498c8213153eb361dca1f7e8094ceb55de396b6be1bd0e42de659353c75c456f3</cites><orcidid>0000-0003-3947-2892</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00380-022-02175-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-022-02175-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36138266$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tsukizawa, Tomofumi</creatorcontrib><creatorcontrib>Fujihara, Masahiko</creatorcontrib><creatorcontrib>Yazu, Yuko</creatorcontrib><creatorcontrib>Kozasa, Tasuku</creatorcontrib><creatorcontrib>Tanabe, Yuma</creatorcontrib><title>Success rate of endovascular recanalization for femoropopliteal artery total occlusion using the wingman catheter system</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>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.</description><subject>Aged</subject><subject>Arterial Occlusive Diseases - diagnosis</subject><subject>Arterial Occlusive Diseases - surgery</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Calcification</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Cardiovascular system</subject><subject>Catheters</subject><subject>Chronic Disease</subject><subject>Complications</subject><subject>Embolism</subject><subject>Endovascular Procedures</subject><subject>Femoral Artery - diagnostic imaging</subject><subject>Humans</subject><subject>Implants</subject><subject>Medical instruments</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nickel titanides</subject><subject>Occlusion</subject><subject>Original Article</subject><subject>Popliteal Artery - diagnostic imaging</subject><subject>Popliteal Artery - surgery</subject><subject>Population studies</subject><subject>Retrospective Studies</subject><subject>Stainless steel</subject><subject>Stainless steels</subject><subject>Success</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><issn>0910-8327</issn><issn>1615-2573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtv1DAURi0EokPhD7BAltiwCfW149cSVYUiVWJRWFuOc1NSJfFgO5SZX18PU0Bi0YUfVz73s61DyGtg74ExfZYZE4Y1jPM6QMtm_4RsQIFsuNTiKdkwC6wxgusT8iLnW8ZAWrDPyYlQIAxXakN-Xa8hYM40-YI0DhSXPv70OayTTzRh8Iufxr0vY1zoEBMdcI4pbuN2Ggv6ifpUMO1oiaUWMYRpzQe0zssNLd-R3tXN7BcafK0qS_MuF5xfkmeDnzK-elhPybePF1_PL5urL58-n3-4aoKwtjStNcFwECAFdvXZffAwaDTMtgE7KXsUVnWqQ-h6hi3vUUkrpAhahlaqQZySd8fcbYo_VszFzWMOOE1-wbhmxzVoZWQLUNG3_6G3cU31_wdKc2G0sKZS_EiFFHNOOLhtGmefdg6YO3hxRy-uenG_vbh9bXrzEL12M_Z_W_6IqIA4ArkeLTeY_t39SOw9HY6bkw</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Tsukizawa, Tomofumi</creator><creator>Fujihara, Masahiko</creator><creator>Yazu, Yuko</creator><creator>Kozasa, Tasuku</creator><creator>Tanabe, Yuma</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3947-2892</orcidid></search><sort><creationdate>20230301</creationdate><title>Success rate of endovascular recanalization for femoropopliteal artery total occlusion using the wingman catheter system</title><author>Tsukizawa, Tomofumi ; Fujihara, Masahiko ; Yazu, Yuko ; Kozasa, Tasuku ; Tanabe, Yuma</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-498c8213153eb361dca1f7e8094ceb55de396b6be1bd0e42de659353c75c456f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Arterial Occlusive Diseases - diagnosis</topic><topic>Arterial Occlusive Diseases - surgery</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Calcification</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Cardiovascular system</topic><topic>Catheters</topic><topic>Chronic Disease</topic><topic>Complications</topic><topic>Embolism</topic><topic>Endovascular Procedures</topic><topic>Femoral Artery - diagnostic imaging</topic><topic>Humans</topic><topic>Implants</topic><topic>Medical instruments</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nickel titanides</topic><topic>Occlusion</topic><topic>Original Article</topic><topic>Popliteal Artery - diagnostic imaging</topic><topic>Popliteal Artery - surgery</topic><topic>Population studies</topic><topic>Retrospective Studies</topic><topic>Stainless steel</topic><topic>Stainless steels</topic><topic>Success</topic><topic>Treatment Outcome</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tsukizawa, Tomofumi</creatorcontrib><creatorcontrib>Fujihara, Masahiko</creatorcontrib><creatorcontrib>Yazu, Yuko</creatorcontrib><creatorcontrib>Kozasa, Tasuku</creatorcontrib><creatorcontrib>Tanabe, Yuma</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Heart and vessels</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsukizawa, Tomofumi</au><au>Fujihara, Masahiko</au><au>Yazu, Yuko</au><au>Kozasa, Tasuku</au><au>Tanabe, Yuma</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Success rate of endovascular recanalization for femoropopliteal artery total occlusion using the wingman catheter system</atitle><jtitle>Heart and vessels</jtitle><stitle>Heart Vessels</stitle><addtitle>Heart Vessels</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>38</volume><issue>3</issue><spage>422</spage><epage>428</epage><pages>422-428</pages><issn>0910-8327</issn><eissn>1615-2573</eissn><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.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>36138266</pmid><doi>10.1007/s00380-022-02175-z</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-3947-2892</orcidid></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Arterial Occlusive Diseases - diagnosis Arterial Occlusive Diseases - surgery Biomedical Engineering and Bioengineering Calcification Cardiac Surgery Cardiology Cardiovascular system Catheters Chronic Disease Complications Embolism Endovascular Procedures Femoral Artery - diagnostic imaging Humans Implants Medical instruments Medicine Medicine & Public Health Nickel titanides Occlusion Original Article Popliteal Artery - diagnostic imaging Popliteal Artery - surgery Population studies Retrospective Studies Stainless steel Stainless steels Success Treatment Outcome Vascular Surgery |
| title | Success rate of endovascular recanalization for femoropopliteal artery total occlusion using the wingman catheter system |
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