Penumbra Aspiration Pump: Interventional therapies for acute pulmonary embolism: current status and principles for the development of novel evidence: a scientific statement from the American Heart Association. Unit may overheat and shut off or fail to restart if run for extended periods without airflow. The complaint indicated that the cat8 was kinked during the procedure. Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 12 inches (30 cm) to any part of LIGHTNING Aspiration Tubing. CAT RX has allowed us to rethink how we approach these occluded SVGs. Manual aspiration using a Pronto V3 (Teleflex) catheter restored some flow, however, distal embolization to the posterior descending artery (PDA) immediately caused right ventricular cardiac arrest (Figure 2). We directly stented with a 3.5- X 38-mm Synergy DES and postdilated with a 4- X 20-mm noncompliant balloon. Reuse may result in canister cracking or vacuum filter blockages, which may result in the inability to aspirate. Launches Indigo System Lightning 12 in U.S. Appoints Corey L. Teigen, M.D., as Chief Scientific Officer and James F. Benenati, M.D., FSIR, as Chief Medical Officer Penumbra, Inc. (NYSE: PEN), a global healthcare company focused on innovative therapies, today announced its next phase for vascular franchise growth with U.S. commercial availability of the Indigo System Lightning 12 and . Contraindications There are no contraindications. Unrestrained torquing or forced insertion of the catheter or SEPARATOR against resistance may result in damage to the device or vessel. The Indigo System CAT3, CAT5, CAT6, CAT8 and CATD ?are engineered to be robust, durable, and trackable for use in the peripheral anatomy. Suhail Dohad, MD, FACC
INDIGO Aspiration Tubing: As part of the INDIGO Aspiration System, the INDIGO Sterile Aspiration Tubing is indicated to connect the INDIGO CAT RX Aspiration Catheters to the Penumbra Aspiration Pump. Figure 1. QUICK VIEW. N Engl J Med. 2: Add The Indigo system CAT3, CAT5, CAT6, CAT8 and CATD are engineered to be robust, trackable, atraumatic and well suited for the peripheral anatomy. The Penumbra CAT RX catheter was used in a total of 34 patients, with 71% STEMI, 23% NSTEMI, 3% UA, and 3% new onset heart failure. With automatic valve control, Lightning can help the physician focus on optimising thrombus removal procedures. Figure 2. Warnings Do not use the INDIGO Aspiration System with a pump other than a Penumbra Aspiration Pump. We decided to start with mechanical aspiration using CAT RX and Penumbra ENGINE to extract the thrombus. The CAT family of catheters is the foundation of Penumbras Indigo System. Precautions The device is intended or single use only. Placing guidewire too distal in the pulmonary vasculature or excessive manipulation of aspiration/guiding catheter in the smaller, peripheral, and segmental pulmonary artery branches can result in vessel perforation. Do not use Indigo Separator 4 to macerate or retrieve thrombus distal to the catheter tip. Do not use the INDIGO Aspiration System with a pump other than the Penumbra Aspiration Pump. Foi utilizado o dispositivo Penumbra Indigo System Separator SEP8 (Penumbra Inc.), via . CAT RX has become our frontline therapy for rapid3 clot removal in the coronary arteries. left-arrow The Penumbra ENGINE is intended as a vacuum source for Penumbra Aspiration Systems. indicated to connect the INDIGO CAT RX Aspiration Catheters to the Penumbra Aspiration Pump. With automatic valve control, Lightning can help the physician focus on optimizing thrombus removal procedures. The product-specific content of this website is intended for use by healthcare professionals only. Created with Sketch. Available in a selection of sizes, the CAT family can provide access to distal peripheral . The INDIGO Aspiration System is intended for the removal of fresh, soft emboli and thrombi from vessels of the peripheral arterial and venous systems and certain central circulatory system conditions such as pulmonary emboli using continuous aspiration. No conversations found. All Rights Reserved Privacy Policy, With S. Jay Mathews, MD, MS, FACC; Chris Metzger, MD; Waqas R. Qureshi, MD, MS; Jawairia Sahar K. Mirza, MBBS; Gus Theodos, MD, FACC, FSCAI; Brian Kolski, MD; Suhail Dohad, MD, FACC. She had acute tubular necrosis with minimal urine output at the time of transfer. Jolly SS, Cairns JA, Yusuf S, et al. PENUMBRA ENGINE Intended Use The patient had a medical history of cyclical vomiting, hypertension, diabetes, and hyperlipidemia. Final angiographic result of SVG. Available in a selection of sizes, the CAT family can enable access to distal peripheral vessels of the upper and lower extremities, including below the knee. Caution: Federal (USA) law restricts this device to sale by or on the order of a physician. 0 cm from the distal tip. Continuous Aspiration Mechanical Thrombectomy Catheters (CAT) are the foundation of Penumbra's Indigo System. Contraindications The INDIGO Aspiration System is contraindicated in: The removal of fibrous, adherent or calcified material (e.g. If such use is necessary, LIGHTNING Aspiration Tubing and the other equipment should be observed to verify that they are functioning properly. Warnings/Precautions The canister is intended for single use only. Pulmonary artery peak pressures dropped from the mid 40s to the high 30s. Disclosures: None. Additional Details. Potential Adverse Events allergic reaction and anaphylaxis from contrast media; acute occlusion; air embolism; arteriovenous fistula; death; device malfunction; distal embolization; emboli; false aneurysm formation; hematoma or hemorrhage at access site; inability to completely remove thrombus; infection; hemorrhage; ischemia; kidney damage from contrast media; neurological deficits including stroke; vessel spasm, thrombosis, dissection, or perforation; intimal disruption; myocardial infarction; emergent surgery; fibrillation; hypotension; respiratory failure; peripheral thromboembolic events. right-arrow The initial angiogram confirmed a distal occlusion of the RCA with TIMI 0 flow and extensive clot burden (Figure 1). In patients with submassive pulmonary embolism with compromised right ventricular function and elevated biomarkers, the Indigo System is an excellent frontline tool offering a safe and effective1 treatment option. window.dataLayer = window.dataLayer || []; Figure 2. Mathews SJ, Brown C, Kolski B, et al. Get Penumbra Cat 8 in Secunderabad, Hyderabad, Telangana at best price by Zephyr Technologies. The Indigo System CAT RX with Penumbra ENGINE is an invaluable tool that is easy to set up and can provide rapid thrombectomy and immediate reperfusion. Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 12 inches (30 cm) to any part of the PENUMBRA ENGINE. Penumbra System BENCHMARK Delivery Catheter - MP - 6Fr x .071" x 105cm - Non-Expired: 6Fr x .071" x 105cm $550.00. Resterilization and/or reuse may result in ineffective catheter coating lubrication, which may result in high friction and the inability to access the target vasculature location. Pela bainha, foi introduzido o dispositivo de aspirao Penumbra Indigo System CAT8 XTORQ (Penumbra Inc., Alameda, Califrnia, Estados Unidos) em trombo segmentar, lobar ou arterial pulmonar principal, sendo realizada aspirao contnua (Figuras 2 e 3). INDIGO Aspiration System Intended Use Chris Metzger, MD
3. Use prior to the Use By date. Copyright 2023 Penumbra, Inc. All rights reserved. Precautions The device is intended for single use only. She was in a rehab facility prior to this new event recovering from her CVA. The INDIGO SEPARATOR 4 is not intended for use as a guidewire. The pulmonary capillary wedge pressure is 10 mmHg. Flow through left circumflex artery post-CAT RX. Do not use kinked or damaged devices. 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. The Indigo System can provide immediate mechanical relief by extracting clot while decreasing pressures using sustained power aspiration without the need for thrombolytics. Do not resterilize or reuse. Contraindications There are no known contraindications. The patient underwent six shocks and was intubated while CAT RX was delivered through the freshly placed 3.5- X 38-mm DES to the PDA. Ultrasound-guided access was obtained through the right femoral vein. Lightning Aspiration Tubing has dual pressure sensors for real-time blood flow monitoring. 5, 19. 2019;140:e774-e801. Excessive aspiration or failure to close the INDIGO Aspiration Tubing when aspiration is complete is not recommended. The patients symptoms normalized, the electrocardiogram stabilized, and the acute MI was immediately resolved. If the cause cannot be determined, withdraw the device or system as a unit. In a retrospective analysis of patients in our practice with fresh thrombus burden, we have observed TIMI 3 restored when using CAT RX frontline.1 This is another positive patient outcome with the use of CAT RX in a case of high thrombus burden. Tip directionality for circumferential aspiration, Live feedback during procedure with integrated clot catcher, Penumbra ENGINE is capable of delivering and maintaining nearly pure vacuum (-29 inHg or 98.2 kPa) with the disposablePenumbra ENGINE Canister. An 8-French 45 cm Destination sheath was placed to the main pulmonary artery. Mechanical power aspiration with the Indigo System CAT RX (Penumbra, Inc.), introduced in 2018, continues to gain in popularity as a solution for high thrombus burden in the coronaries. For more information on the personal data that is collected by this website, please refer to Penumbras Privacy Notice. Penumbra Aspiration Pump: As part of the Indigo Aspiration System, the Indigo CAT RX Aspiration Catheters and Indigo Separator 4 are indicated for the removal of fresh, soft emboli and thrombi from vessels in the coronary and peripheral vasculature. Do not resterilize or reuse. Use only water-based solvents for cleaning. The device is intended for single use only. 3D, 3D Revascularization Device, ACE, Artemis, BENCHMARK, CAT, Indigo, LANTERN, Lightning, MAX, Neuron, Neuron MAX, Penumbra Coil 400, Penumbra ENGINE, Penumbra P logos, Penumbra System, Penumbra SMART COIL, POD, PX SLIM, Ruby, Select, Separator, Velocity, and WAVE are all registered trademarks or trademarks of Penumbra, Inc. in the USA and other countries. Return all damaged devices and packaging to the manufacturer/distributor. Copyright 2022 Penumbra, Inc. All rights reserved. Indigo System | Computer-Aided Mechanical Aspiration. We have found the trackability of CAT RX to be easily navigable for hard-to-reach distal vessels. Penumbra CAT8 KIT Indigo Aspiration Catheter 8 & Aspiration Tubing, XTorq Tip 115cm x 8F (NON-STERILE) Expired. Do not use open or damaged packages. The patient was brought to the catheterization laboratory for angiography that showed stagnant flow through the saphenous vein graft (SVG; Figure 1). Jawairia Sahar K. Mirza, MBBS
Brian Kolski, MD
Figure 3. 0 cm from the hub. Unit may overheat and shut off or fail to restart if run for extended periods of time without airflow. Mechanical coronary aspiration was performed frontline with CAT RX and Penumbra ENGINE to remove the high thrombus burden. Use prior to the Use By date. If the cause cannot be determined, withdraw the device or system as a unit. Jolly SS, Cairns JA, Lavi S, et al. In our practice, we have been able to more accurately define percutaneous transluminal coronary angioplasty and stent length as a result of this increased visualization. Not for use in the coronaries or the neurovasculature. Penumbra introduced the Ruby Coil in 2013, followed by the launch of PODin 2014 and Packing Coil in 2015. The Indigo SystemCAT3, CAT5, CAT6, CAT8 and CATD are engineered to be robust, durable, and trackable for use in the peripheral anatomy. The Penumbra IndigoSystem Separatoris intended for use with our Indigo Systems CATfamily of catheters to enable the removal of a wide range of thrombus. Prior to use, please consult device labeling and instructions for use. Possible complications include, but are not limited to, the following: allergic reaction and anaphylaxis from contrast media; acute occlusion; air embolism; arteriovenous fistula; death; device malfunction; distal embolization; emboli; false aneurysm formation; hematoma or hemorrhage at access site; inability to completely remove thrombus; Control angiography immediately after thrombectomy demonstrated restored patency . This site is protected by reCAPTCHA and the Google, Mechanical clot engagement with proprietary Separator technology, Tip directionality for circumferential aspiration, The Indigo System is an integrated system for use only with other components of the Indigo System including the CAT family of catheters, Separators, Dynamic Aspiration Tubing, Lightning, Penumbra ENGINE, and Penumbra ENGINE Canister, Lightning Intelligent Aspiration comes packaged with CAT7, CAT8 or CAT12, Live feedback during the procedure with integrated clot catcher, Penumbra ENGINE is capable of delivering and maintaining nearly pure vacuum (-29 inHg or 98.2 kPa) with the disposable Penumbra ENGINE Canister. Smidt Heart institute
Penumbra Aspiration Pump The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems. The cerebral vasculature Copyright 2022 Penumbra, Inc. All rights reserved. Penumbra's not relying on software alone. excellent trackability, and similar power to the CAT8 Penumbra catheter that was previously used for this . Its engineers designed low-profile, high-power aspiration catheters called Cat 7 and Cat 12 that were launched in 2021. Cedars Sinai Medical Center
There was an immediate response in the clinical situation of the patient: her blood pressure stabilized into the 90s and her oxygenation improved substantially. Do not resterilize or reuse. Available in a selection of sizes, the CAT family can provide access to distal peripheral vessels of the upper and . After one pass with CAT RX, the high thrombus burden was removed, resulting in TIMI 3 flow. The cat8 was kinked approximately 69. Indigo Separator 4 is intended to be used with Indigo CAT RX Aspiration Catheter to clear the distal end of the catheter lumen should it be blocked with thrombus. The Indigo System CAT RX and Penumbra ENGINE aspiration source were crucial to the success of this case. Maintain a constant infusion of appropriate flush solution. BJC Cardiology
kolskiwellness@gmail.com
1. If the cause cannot be determined, withdraw the device or system as a unit. Penumbras Indigo Aspiration System can be used to remove emboli and thrombi from vessels of the peripheral arterial and venous systems, and for the treatment of pulmonary embolism and/or certain central circulatory system conditions such as pulmonary emboli. After discussion with the family, a decision was made to take her emergently to the cardiac catheterization laboratory. Available in a selection of sizes, the CAT family can provide access to distal peripheral vessels of the upper and lower . Thrombus aspiration in patients with high thrombus burden in the TOTAL trial. The patient had a robust recovery and was discharged to her rehab facility on anticoagulation. Do not use automated high-pressure contrast injection equipment with the INDIGO CAT RX Aspiration Catheter because it may damage the device. Distal emboli causing PDA occlusion after manual aspiration. The Indigo System met its efficacy and safety endpoints by reducing right-to-left ventricle (RV/LV) ratio at 48 hours by 27.3% (mean ratio reduction, 0.43; 95% confidence interval, 0.380.47; P < .0001) and had a low major adverse event of 1.7% (2/119). Potential Adverse Events Possible complications include, but are not limited to, the following: allergic reaction and anaphylaxis from contrast media; acute occlusion; air embolism; arrhythmia/fibrillation; arteriovenous fistula; death; device malfunction; distal embolization; emergent surgery; false aneurysm formation; hematoma, hemorrhage, or blood loss at access site; hematoma, hemorrhage, or blood loss; hypotension; inability to completely remove thrombus or control blood flow; infection; ischemia; kidney damage from contrast media; myocardial infarction; neurological deficits including stroke; respiratory failure; thromboembolic events; vascular complications (including vessel spasm, thrombosis, intimal disruption, dissection, or perforation). The PENUMBRA ENGINE is indicated as a vacuum source for Penumbra Aspiration Systems. Use of LIGHTNING Aspiration Tubing adjacent to other equipment should be avoided because it could result in improper operation. This press release features multimedia. UPC: Current Stock: This item is out of stock. Do not use kinked or damaged devices. Available in a selection of sizes, the CAT family can provide access to distal peripheral vessels of the upper and lower extremities, including below the knee. The Indigo System utilises the Penumbra ENGINE aspiration source capable of delivering nearly pure, continuous vacuum (-29 inHg or 98.2 kPa) to our catheters, enabling thrombus removal in vessels of various sizes. Do not use in the presence of a flammable anesthetic mixture with air or nitrous oxide. To avoid the risk of electrical shock, this equipment must only be connected to a supply mains with protective earth. INDIGO Aspiration Tubing: As part of the INDIGO Aspiration System, the INDIGO Sterile Aspiration Tubing is indicated to connect the INDIGO Aspiration Catheters to the Penumbra Aspiration Pump. Alameda, CA 94502. The patient was brought back to the cardiac cath lab for follow-up angiography that revealed TIMI 0 flow of the RCA (Figure 1). Available in a selection of sizes, the CAT family can provide access to distal peripheral vessels of the upper and lower extremities, including below the knee. If repositioning of the INDIGO CAT RX Aspiration Catheter is necessary during the revascularization procedure, such repositioning should be performed over an appropriate guidewire using standard guidewire techniques. 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. gtag('js', new Date()); Unrestrained torquing or forced insertion of the catheter or SEPARATOR against resistance may result in damage to the device or vessel. Maintain a constant infusion of appropriate flush solution. The built-in microprocessor features a proprietary thrombus removal algorithm that automatically controls a valve in the tubing to provide continuous or intermittent aspiration. Saxon RR, Benenati JF, Teigen C, et al. These pages are not intended for patients or for members of the general public. Figure 1. Made of laser-cut hypotube technology, CAT7 and CAT12 are designed to increase trackability and torqueability. When performing aspiration, ensure that the INDIGO Aspiration Tubing is open for only the minimum time needed to remove thrombus. The treatment of arterial and venous thrombus is challenging. S. Jay Mathews, MD, MS, FACC
The PENUMBRA ENGINE is intended as a vacuum source for Penumbra Aspiration Systems. Aspiration Tubing Intended Use Learn more about Lightning. Do not reuse. The Indigo Separator 4 is not intended for use as a guidewire. No modification of this equipment is allowed. The atraumatic tip and small catheter French size of the CAT8 device allows for easy tracking and maneuvering through the vasculature and selective debulking of thrombus from lobar branches of the pulmonary arterial tree. waqas.qureshi@umassmemorial.org
Do not use in oxygen rich environment. Return all damaged devices and packaging to the manufacturer/distributor. Peripheral Thrombectomy Indigo System Mechanical Thrombectomy CAT6 Indigo Catheter 6, Straight tip 135cm. Do not use automated high-pressure contrast injection equipment with the Indigo CAT RX Aspiration Catheter because it may damage the device. Initial angiogram showing high thrombus burden in the RCA. Possible complications include, but are not limited to, the following: acute vessel occlusion; air embolism; allergic reaction and anaphylaxis from contrast media or device material; anemia; arrhythmia; arteriovenous fistula; cardiac injury, cardiac perforation, cardiac tamponade; cardio-respiratory arrest; compartment syndrome; death; emboli; emergent surgery; foreign body embolization; hematoma or hemorrhage at access site; hemoptysis; hemorrhage; hypotension/hypertension; infarction leading to organ damage; infection; ischemia; myocardial infarction; neurological deficits including stroke; pneumothorax; pseudoaneurysm; renal impairment or acute renal failure from contrast media; residual thrombus due to inability to completely remove thrombus or control blood flow; respiratory failure; valvular damage; vessel spasm, thrombosis, dissection (intimal disruption), or perforation. The INDIGO Aspiration Tubing: The CAT family of catheters is the foundation of Penumbra's Indigo System. Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 12 inches (30 cm) to any part of LIGHTNING Aspiration Tubing. Penumbra introduced the Indigo System CAT RX in 2017 for the removal of fresh, soft emboli and thrombi from the . Physicians in the USA have published details ofto their knowledgethe "first reported use" of the Indigo aspiration system (Penumbra) to treat cerebral venous sinus thrombosis (CVST) via endovascular thrombectomy.The treated patient underwent successful partial recanalisation of the superior sagittal sinus (SSS) and bilateral transverse sinuses (TS), and experienced . The INDIGO SEPARATOR is not intended for use as a guidewire. We started with laser atherectomy followed by percutaneous transluminal angioplasty of the tibial peroneal trunk, peroneal artery, and posterior tibial artery. The built-in microprocessor features a proprietary thrombus removal algorithm that automatically controls a valve in the tubing to provide continuous or intermittent aspiration. The Indigo System with Lightning Aspiration Tubing is an intelligent aspiration system powered by Penumbra ENGINE. 22. Prior to use, please consult device labeling and instructions for use. Circulation. Do not block bottom or back air vents. INDIGO Aspiration Catheters and Separators: As part of the INDIGO Aspiration System, the INDIGO Aspiration Catheters and Separators are indicated for the removal of fresh, soft emboli and thrombi from vessels of the peripheral arterial and venous systems, and for the treatment of pulmonary embolism. Download scientific diagram | A, Penumbra Indigo System Continuous Aspiration Mechanical Thrombectomy Catheter (CAT8). Excessive aspiration or failure to close the INDIGO Aspiration Tubing when aspiration is complete is not recommended. Precautions Aspiration or disruption of thrombus with traditional diminished syringe-based aspiration or other mechanical devices is difficult, often incomplete, and has been associated with high complication rates.1 Use of medical therapy, such as powerful anticoagulants and thrombolytics (ie, tissue plasminogen activator), may carry a high risk of bleeding.2 The Indigo System was designed to provide sustained aspiration with Penumbra ENGINE to effectively remove thrombus, while reducing the risk of bleeding complications.3 The Indigo System utilizes atraumatic catheters varying in diameters from 3.4 to 8 F and lengths ranging from 50 to 150 cm. The means of mains disconnect is to remove the power cord. The Indigo System Catheter CAT8 was used across 22 sites in the United States in patients with submassive PE who did not receive thrombolytics (98.3%), with a . The Indigo Separator is advanced and retracted through the corresponding size Indigo catheter at the proximal margin of the primary occlusion to facilitate clearing of the thrombus from the catheter tip. The initial angiogram revealed TIMI 0 flow in the proximal right coronary artery (RCA) due to plaque rupture. Distal posterior tibial artery emboli occlusion. Do not advance, retract or use any component of the INDIGO System against resistance without careful assessment of the cause using fluoroscopy. The Penumbra ENGINE addresses the limitations of traditional treatment options by providing sustained mechanical power aspiration for the duration of the procedure to help maximize efficiency of thrombus removal. The patient received a 3.5- X 38-mm everolimus-eluting stent (Synergy drug-eluting stent [DES], Boston Scientific Corporation) with postdilation optimized by intravascular ultrasound (IVUS) and was then sent to the step-down unit. In 2014, Penumbra broke into the peripheral thrombectomy space with the release of the first Indigo System catheters, the 5-F CAT5 catheter and the 3-F CAT3 catheter (Penumbra, Inc.). The Indigo SystemCAT3, CAT5, CAT6, CAT8 and CATDare engineered to be robust, durable, and trackable for use in the peripheral anatomy. The Penumbra P logos, 3D, 3D Revascularization Device, ACE, BENCHMARK, CAT, Indigo, LANTERN, MAX, Neuron, Neuron MAX, Penumbra ENGINE, Penumbra JET, Penumbra System, Penumbra SMART COIL, POD, Ruby, Separator, Velocity, and WAVE are registered trademarks or trademarks of Penumbra, Inc. in the USA and other countries. The patient had reported intermittent chest discomfort for 3 days, with some improvement with his daily medications. Indigo Aspiration Catheters (CAT) are the foundation of Penumbras IndigoSystem. Distal OD. Do not position the PENUMBRA ENGINE so that it is difficult to remove the power cord. The Indigo SystemCAT3, CAT5, CAT6, CAT8, CATD, and CAT RX are engineered to be robust, trackable, atraumatic, and well suited for the peripheral anatomy. The product-specific content of this website is intended for use by healthcare professionals only. minimalism: a documentary about the important things transcript; cat8 penumbra catheter; i 75 road construction cincinnati; tocaya west hollywood; best places to live in alabama near the. Do not resterilize or reuse. Use the Indigo Aspiration System in conjunction with fluoroscopic visualization. Final angiogram confirming thrombus removal and restoration of flow to the pedal arch. A final angiogram revealed complete reperfusion to the dominant left circumflex artery and branches, with TIMI 3 flow (Figure 3). Excessive aspiration or failure to close the INDIGO Aspiration Tubing when aspiration is complete is not recommended. 2023 Bryn Mawr Communications II, LLC. Because the patient was not a candidate for thrombolysis, the decision was made to intervene with the Indigo System CAT8XTORQ115 and SEP 8, which were advanced sequentially into the right then left pulmonary artery. The Indigo Separator is advanced and retracted through the corresponding size Indigo catheter at the proximal margin of the primary occlusion to facilitate clearing of the thrombus from the catheter tip. gtag('config', 'UA-18982160-1'); Penumbra Inc .cls-1{fill:#a6a699;}.cls-2{fill:#b5121b;}.cls-3{isolation:isolate;fill:url(#linear-gradient);}. We expect the results to further refine and improve our technique for mechanical aspiration and fine-tune the use of CAT RX for patients with high thrombus burden. Initial angiography revealed an occlusion of the distal RCA. Placing guidewire too distal in the pulmonary vasculature or excessive manipulation of aspiration/ guiding catheter in the smaller, peripheral, and segmental pulmonary artery branches can result in vessel perforation. Lightning Aspiration Tubing has dual pressure sensors for real-time blood flow monitoring. The final angiographic outcome revealed complete revascularization and TIMI 3 flow (Figure 2). These were quickly followed by the release of the 8-F CAT8 and 6-F CAT6 in 2015. Please email info@medicalmaterials.com or call us at 877-663-8686 and we will try to locate the product with our suppliers. Ballad CVA Heart & Vascular Institute
CAT RX is an essential tool in our percutaneous coronary armamentarium. Penumbra ENGINE Indication For Use Possible complications include, but are not limited to, the following: The four cathetersCAT3, 5, 6, & 8are robust, durable, trackable, and suited for the peripheral anatomy. Warnings The INDIGO Aspiration System should only be used by physicians who have received appropriate training in interventional techniques. 3. The Swan-Ganz catheter was exchanged over a long V18 wire. After one pass with CAT RX, the initial occlusion was removed. Due to our experience in such cases, sustained aspiration with the Indigo System CAT RX with Penumbra ENGINE has quickly become our frontline device, challenging the traditional method of manual aspiration in patients with thrombi and emboli in the coronary arteries.