WIRION EPS Filter with Jetstream Atherectomy of Femoropopliteal Arterial Disease: A Single Center Experience

WIRION™ Embolic Protection System for Carotid Artery Stenting and Lower Extremity Endovascular Intervention

“…Sharis et al reported DE in three cases despite the use of the Wirion EPS, however only one case out of the three was clinically severe and required treatment more than aspiration [40]. The authors also noted that in 51.4% of the overall cases debris was captured by the Wirion filter (14 macro and 5 microdebris cases) [40]. No severe angiographic complications, deaths or acute myocardial infarctions occurred in all three cohorts.…”

“…Based on the very low frequency of periprocedural complications, the authors suggested that the Wirion is not inferior to other commercially available independent filters used for distal embolic protection (e.g., SpiderFX) [39]. Sharis et al studied 37 patients undergoing femoropopliteal angioplasty with adjunctive rotational atherectomy (i.e., Jetstream atherectomy) [40]. All patients presented with a Rutherford category ranging from 3 to 5 and lesions being TASC A/B in 75.7% of the cases (mean lesion length: 150.4 mm) [40].…”

“…Sharis et al studied 37 patients undergoing femoropopliteal angioplasty with adjunctive rotational atherectomy (i.e., Jetstream atherectomy) [40]. All patients presented with a Rutherford category ranging from 3 to 5 and lesions being TASC A/B in 75.7% of the cases (mean lesion length: 150.4 mm) [40]. The Wirion filter was used for distal embolic protection in all cases and the reported device success was 97.3% (n = 36/37).…”

“…The Wirion filter was used for distal embolic protection in all cases and the reported device success was 97.3% (n = 36/37). The one device failure that occurred was attributed to entrapment of the guidewire on the rotational atherectomy device [40].…”

“…Shammas et al reported no events of periprocedural DE, while a filter analysis showed that the majority (98%) of the particles captured on the filter membrane was <1 mm [39]. Sharis et al reported DE in three cases despite the use of the Wirion EPS, however only one case out of the three was clinically severe and required treatment more than aspiration [40]. The authors also noted that in 51.4% of the overall cases debris was captured by the Wirion filter (14 macro and 5 microdebris cases) [40].…”