tigereye case study pre and post treatment
TRANSCRIPT
TIGEREYE 0300 600, 800,1000 RPM
Spiralflutes
0.035”2.0 mm or larger 1.8mm(5F)
140cm5F
DeviceName
CatalogID
SheathSize
VesselDiameter
EffectiveLength
CrossingProfile
GuidewireCOMPATIBILITY
DistalTip Type
RotationalSpeed
TIGEREYECASE STUDY
1. Courtney, et al. Eur Heart J. 2008, 2. Conrad, et al. J Vasc Surg 2006, 3. Davis, T. Vascular Disease Management. 2015, 4. Staniloae, et al. J of Invasive Cardiol. 2011
The Tigereye System is intended to facilitate the intraluminal placement of conventional guidewires beyond stenotic lesions (including sub and chronic total occlusions) in the peripheral vasculature prior to further percutaneous intervention using OCT-assisted orientation and imaging. The system is anadjunct to fluoroscopy by providing images of vessel lumen and wall structures. The Tigereye System is NOT intended for use in the iliac, coronary, cerebral, renal or carotid vasculature.
OCT IMAGE-GUIDED CTO CROSSING
120MM Popliteal and TPT CTO
DR. DWIGHT DISHMONMETHODIST HEALTHCARE, MEMPHIS, TN
PATIENT INFORMATION
• 57-year old male• Lifestyle limiting claudication• PVD, PCI, borderline diabetes, HTN• Non-pressure chronic ulcer of right foot • Smoker
LESION CHARACTERISTICS
• Lesion length/location: 120MM popliteal CTO• Lesion type: Restenotic• No visible calcium burden
TREATMENT CHARACTERISTIC
• Standalone crossing with Tigereye• Primary Tx: Pantheris SV• Adjunctive Tx: DCB• Final stenosis: 10%
KEY TAKEAWAYS
• SUCCESSFUL CROSSING: TIGEREYE’s powerful tip penetrated the most challenging parts of CTO: proximal and distal caps
• TRUE LUMEN FOR BETTER LONG-TERM OUTCOMES: Steerable tip combined with onboard OCT-guidance allowed operator to stay true lumen
• REDUCED PROCEDURE TIME: Total crossing time less 5 minutes
© 2021 Avinger, Inc. All rights reserved. PML0780-A
POSTPRE
PRE AND POST TREATMENT
PLAQUE
MEDIA
EEL
ACT
REDEFININGCTO CROSSING
While several techniques and guidewires have beendeveloped for use in CTOs, the inability of angiographyto adequately visualize a CTO makes interventionstechnically challenging.2 Failure to cross the lesion is due to a variety of factors, such as the inability to keep the guidewire in the true lumen.TIGEREYE offers the optimal combination of crossing success, ability to maximize true lumen crossing, and features a powerful, steerable distal tip and non-radiation emitting OCT image-guidance system.
CTO CROSSING
0
RA
DIA
TIO
N T
IME
(M
INS
)
143
0.244
6
12
18
In RadiationExposure During
CTO Crossing
OCT IMAGE-GUIDED INTERVENTION
FLUOROSCOPY GUIDED INTERVENTION
CTO CROSSING
98%
REDUCTION
RADIATION-FREE INTERVASCULAR IMAGINGOCT image-guidance helps reduce radiation exposure
In a recent case series using an OCT image-guided CTO crossing catheter, the operator nearly eliminated fluoroscopic time during CTO crossing in peripheral arteries. Over a lifetime of CTO procedures, this reduction adds up to a significant amount of radiation exposure saved.
5 FRENCH LOW-PROFILEDESIGN
INCREASES OPTIONS
FOR ARTERIAL ACCESS
AND MULTIPLE
APPROACHES TO
ATTACK CTO
ONBOARD OCT-GUIDANCEOCT-GUIDANCE AT POINT OF TREATMENTPROVIDES INFORMATION TO STAY TRUE LUMEN
HIGH-SPEEDCARBON COATEDTAPERED TIP
LUBRICIOUS TAPERED
TIP COMBINED WITH
HIGH RPMS MAKE
TIGEREYE A POWERFUL
CTO CROSSING PLATFORM
STEERABILITY:
UNPRECEDENTED ABILITY TO STAY TRUE LUMEN
Steerability and onboard OCT-guidance enhance predictability and safetyof CTO crossing.
MEDIA
TIGEREYE
EXTERNAL ELASTICLAMINA
ADVENTITIA
CHRONIC TOTAL
OCCULSIONS40%of Patients withPAD Symptoms1