tigereye case study pre and post treatment

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TIGEREYE 0300 600, 800, 1000 RPM Spiral flutes 0.035” 2.0 mm or larger 1.8mm (5F) 140cm 5F Device Name Catalog ID Sheath Size Vessel Diameter Effective Length Crossing Profile Guidewire COMPATIBILITY Distal Tip Type Rotational Speed TIGEREYE CASE 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 DISHMON METHODIST 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 POST PRE PRE AND POST TREATMENT PLAQUE MEDIA EEL ACT

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Page 1: TIGEREYE CASE STUDY PRE AND POST TREATMENT

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

Page 2: TIGEREYE CASE STUDY PRE AND POST TREATMENT

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