Associate Clinical Professor, University of South Florida College of Medicine Created with Sketch. Preprocedural CT of the patients left pulmonary anatomy. Disclaimer: The opinions and clinical experiences presented herein are for informational purposes only. In this case, the PE patient had an extremely high PA pressure of 35 mm Hg, which we were able to significantly reduce by 40%. At the 30-day follow-up, the patient no longer had residual shortness of breath or exertional dyspnea. Individual results may vary depending on patient-specific attributes. If repositioning of the INDIGO Aspiration Catheter is necessary during the revascularization procedure, such repositioning should be performed over an appropriate guidewire using standard catheter and guidewire techniques. Do not use in oxygen rich environment. The latest addition to the catheter line, the CAT12, is Penumbras most torqueable and trackable catheter to date. Professor, Cardiovascular Surgery The INDIGO SEPARATOR 4 is not intended for use as a guidewire. 2019;140:e774-e801. IVUS image showing May-Thurner narrowing of the left CIV and thrombus in the iliac vein. The Penumbra Indigo System Separator is intended for use with our Indigo Systems CAT family of catheters to enable the removal of a wide range of thrombus. Excessive aspiration or failure to close the INDIGO Aspiration Tubing when aspiration is complete is not recommended. Determining and Applying Appropriate Use of Venous Care, With Kathleen Ozsvath, MD, and Elna Masuda, MD, left-arrow STRIDE is the newest study from Penumbra evaluating the removal of thrombus with the Indigo Aspiration System in patients with lower extremity ALI. Frank R. Arko III, MD Figure 2. Do not advance, retract or use any component of the INDIGO Aspiration System against resistance without careful assessment of the cause using fluoroscopy. The means of mains disconnect is to remove the power cord. The on-table PA pressures were statistically reduced, and the median device time was 37 minutes. Mechanical Thrombectomy of Pulmonary Emboli With Use of the Indigo Executive Vice Chairman Localization of the thrombus was quite variable in our cohort of patients, although in the majority of cases (67%), patients presented with thrombus in the popliteal or BTK vessels. Penumbra Augments Vascular Franchise With Latest Indigo System Launch Large-bore embolectomy, when paired with a syringe, has led to variable results, with questions regarding the ideal technique to achieve a uniform state of vacuum aspiration.1 The catheters used to aspirate should ideally be atraumatic and easily deliverable to be able to access and establish flow through the lobar branches of the pulmonary artery (PA), reducing right heart strain and PA pressure.
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