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 Computer-Aided Aspiration comes packaged with CAT7 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. CAT8 Indigo System Aspiration Catheter - TORQ - 8Fr x 85cm A Penumbra CAT8 catheter was placed into the right upper lobe, right middle lobe, and right lower lobe, and aspiration with a separator was performed. If such use is necessary, this equipment and the other equipment should be observed to verify that they are operating normally. CAT8 KIT Indigo System Aspiration Catheter 8 and Aspiration Tubing Warnings/Precautions The canister is intended for single use only. Use the INDIGO Aspiration System in conjunction with fluoroscopic visualization. Hemoglobin and hematorcrit levels should be monitored in patients with >700 mL blood loss from the clot aspiration procedure. 22. Do not use automated high-pressure contrast injection equipment with the INDIGO Aspiration Catheter because it may damage the device. We decided to start with mechanical aspiration using CAT RX and Penumbra ENGINE to extract the thrombus. If the cause cannot be determined, withdraw the device or system as a unit. Do not use petroleum base compounds, acids, caustics, or chlorinated solvents to clean or lubricate any parts. We started with laser atherectomy followed by percutaneous transluminal angioplasty of the tibial peroneal trunk, peroneal artery, and posterior tibial artery. Possible complications include, but are not limited to, the following: Preprocedure TIMI 0 flow was seen in 76.3% of patients; TIMI 3 flow immediately post-CAT RX was demonstrated in 93.2% of patients. System Chair, Clinical Research PENUMBRA: CAT6 - WestCMR Possible complications include, but are not limited to, the following: The procedure was completed with the same catheter. The complaint has been evaluated. Penumbra's high-performance aspiration catheters. An Interview With Binita Shah, MD, MS, FACC, FSCAI, By Mansi Oberoi, MD; M. Chadi Alraies, MD; and Poonam Velagapudi, MD, MS, Left Main Disease and Bifurcation Revascularization in Female Patients, By Tara L. Jones, MD, PharmD, and Valeria Paradies, MD, By Mirvat Alasnag, MD, FACP, FACC, FSCAI, FSCCT, Applying Team-Based Care Delivery to Interventional Cardiology: Learnings from the 2022 MedAxiom CV APP Survey, Understanding Sex Differences in Acute and Chronic Coronary Syndromes, By F. Aaysha Cader, MBBS, MD, MRCP(UK), MSc(Oxon); Rudaynah Amein Alali, MBBS, Internal Medicine Board, Interventional Cardiology Fellowship, RCPI; and Mirvat Alasnag, MD, FACP, FACC, FSCAI, FSCCT, SuperSaturated Oxygen Therapy: Cases and Cocktails Event Winning Presentations, With Charishma Nallapati, MD; Amer N. Kadri, MD; James Richard Spears, MD; Zaid Al-Jebaje, MD; Babar Basir, DO; and Khaldoon Alaswad, MD, FACC, FSCAI. Mechanical coronary aspiration was performed frontline with CAT RX and Penumbra ENGINE to remove the high thrombus burden. 2. If the cause cannot be determined, withdraw the device or system as a unit. window.dataLayer = window.dataLayer || []; This content is not intended to offer professional medical advice. Using the usual telescoping technique of the sheath, the CAT8 and SEP8 were used in tandem to aspirate the thrombus using sustained aspiration with Penumbra ENGINE. Related Items. Penumbra's CAT family of catheters is engineered to be robust, trackable, atraumatic, and well suited to the peripheral anatomy where clots can form in long segments. gtag('js', new Date()); INDIGO Aspiration System with LIGHTNING Aspiration Tubing Indication for Use 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. Foi utilizado o dispositivo Penumbra Indigo System Separator SEP8 (Penumbra Inc.), via . The device is intended for single use only. Kingsport, Tennessee The system uses Penumbra's RED reperfusion catheters. Figure 1. The cerebral vasculature Do not use the INDIGO Aspiration System with a pump other than the Penumbra Aspiration Pump. Indigo Aspiration Catheters (CAT) are the foundation of Penumbra's Indigo System. Do not use kinked or damaged devices. Do not use in oxygen rich environment. For more information on the personal data that is collected by this website, please refer to Penumbras Privacy Notice. With automatic valve control, Lightning can help the physician focus on optimising thrombus removal procedures. Do not use kinked or damaged devices. A minimally-invasive device, Indigo enables the restoration of blood flow in such cases as acute limb ischemia and venous thrombus. Most recently, Penumbra launched LP System, including Ruby Coil LP and Packing Coil LP, which are low profile microcatheter compatible (.0165 - .021 ID). 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. The procedure time was short (median of 37 minutes)the shortest demonstrated so far in an investigational device exemption (IDE) trial on patients with pulmonary embolism. In-Date Home; 3M KCI; Abbott; Acist; Acumed; Acutus; AD Surgical; Adhezion; Aesculap; Alcon 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. Conclusions: evaluation of the cat8 revealed that the device was fractured. 2017;377:2240-2252. Disclosures: Consultant to Penumbra, Inc. A 75-year-old woman with a history of diabetes, hypertension, and dyslipidemia presented with Rutherford class 5 critical limb ischemia (CLI) due to a nonhealing ulcer. Figure 1. Cardiology; Dental; Emergency & EMT; Endoscopy; Exam & Diagnostic; . The Penumbra IndigoSystem Separatoris intended for use with our Indigo Systems CATfamily of catheters to enable the removal of a wide range of thrombus. Learn more about Lightning. Unrestrained torquing or forced insertion of the catheter or SEPARATOR against resistance may result in damage to the device or vessel. 2. Figure 3. Penumbra, CAT8STR85, Penumbra CAT8 Indigo Aspiration Catheter, Straight Penumbra System Products - Medical Materials Penumbra enrols first patient in CHEETAH Study of Indigo CAT RX device Disclosures: None. Distal OD. Return all damaged devices and packaging to the manufacturer/distributor. Do not resterilize or reuse. Disclosures: Consultant to Penumbra, Inc. A 59-year-old man with a history of hypertension and tobacco use presented with an inferior-posterior acute myocardial infarction (MI). LIGHTNING Aspiration Tubing Indication for Use Unit may overheat and shut off or fail to restart if run for extended periods of time without airflow. The Indigo CAT RX Aspiration Catheters and Indigo Separator 4: 0 cm from the hub. 8: Add BMK6F95M-NE . Do not advance, retract or use any component of the INDIGO System against resistance without careful assessment of the cause using fluoroscopy. The newest indication for the Indigo System is the treatment of pulmonary embolism; this indication comes on the heels of the promising results of the EXTRACT-PE trial. Photo: Courtesy of Business Wire. CAT12 features a large 0.13 (3.33 mm) lumen and angled tip for additional circumferential sweep. The procedure can be performed quickly,1 which is important for symptomatic patients. 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 . Results of EXTRACT-PE Trial presented at Vascular InterVentional Advances (VIVA) Annual Meeting Penumbra, Inc. (NYSE: PEN), a global healthcare company focused on innovative therapies, today announced that the EXTRACT-PE trial successfully met the primary endpoints, demonstrating the safety and efficacy of the Indigo Aspiration System for aspiration mechanical thrombectomy in patients with . This ability of lobar thrombectomy likely allowed EXTRACT-PE to be the first endovascular IDE, pulmonary embolism trial that has reported statistically significant reduction in on-table systolic pulmonary artery pressures. Separator 8, 150 cm Length, 0.072 in. Precautions The device is intended for single use only. The INDIGO Aspiration Tubing is intended to connect the INDIGO Aspiration Catheters to the Penumbra Aspiration Pump. Missouri Baptist Medical Center Copyright 2022 Penumbra, Inc. All rights reserved. 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 . Disclosures: Consultant to Penumbra, Inc. A 92-year-old man with a history of coronary artery disease (treated previously with coronary artery bypass graft) and severe aortic stenosis (treated previously with transcatheter aortic valve replacement) presented to the ED with chest pain. Final angiography was performed, showing complete resolution of the underlying lesion (Figure 2). Excessive aspiration or failure to close the INDIGO Aspiration Tubing when aspiration is complete is not recommended. sjaymathewsmd@gmail.com Director of Cardiac Catheterization Lab, PERT & Structural Heart UPC: Current Stock: . A 65-cm 8-F Destination sheath (Terumo Interventional Systems) was advanced into the right pulmonary artery, first over a telescoping balloon tip catheter and stiff angle Glidewire (Terumo Interventional Systems). The Indigo SystemCAT3, CAT5, CAT6, CAT8 and CATDare engineered to be robust, durable, and trackable for use in the peripheral anatomy. Indigo Aspiration Catheters (CAT) are the foundation of Penumbra's Indigo System.The Indigo System CAT3, CAT5, CAT6, CAT8 and CATD are engineered to be robust, durable, and trackable for use in the peripheral anatomy. 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. She had acute tubular necrosis with minimal urine output at the time of transfer. Ruby Coil, POD, and Packing Coil work in conjunction to help facilitate simplified and efficient embolization procedures. Initial experience with a mechanical aspiration catheter for thrombus removal during percutaneous intervention: a multicenter retrospective case series. 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. Additional Details. Penumbra, CAT8XTORQ115, Penumbra CAT8 Indigo Aspiration Catheter, XTorq The Indigo System is intended for the removal of fresh, soft emboli and thrombi from vessels of the peripheral and venous systems, and certain central circulatory systems conditions such as pulmonary emboli, using continuous aspiration. Do not block bottom air vents. Warnings Do not use the INDIGO Aspiration System with a pump other than a Penumbra Aspiration Pump. 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. Lightning 7 expands Penumbra's offering of the Indigo Aspiration System with Intelligent Aspiration for mechanical thrombectomy and is designed for single session arterial thrombus removal. Precautions UPC: Current Stock: This item is out of stock. excellent trackability, and similar power to the CAT8 Penumbra catheter that was previously used for this . Otherwise, this could result in degradation of the performance of this equipment. Indigo Disposable Separator 8, 150 cm Length, 0.072 in. A final angiogram revealed complete reperfusion to the dominant left circumflex artery and branches, with TIMI 3 flow (Figure 3). Indigo System Catheters & Separators | Penumbra Inc Penumbra, Inc. One Penumbra Place. The device is intended for single use only. The Indigo System with Lightning Aspiration Tubing is a computer-aided aspiration system powered by Penumbra ENGINE. Mathews SJ, Brown C, Kolski B, et al. Saxon RR, Benenati JF, Teigen C, et al. 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. This is potentially more effective than diminished syringe-based aspiration. Copyright 2023 Penumbra, Inc. All rights reserved. Contraindications Manual aspiration suffers from diminished aspiration force as fluid fills in the syringe, potentially resulting in systemic embolization during catheter removal, as shown in the TOTAL trial published in 2015 (Figure 1).1 Subgroup analysis of patients with high thrombus burden was explored that highlighted the potential for improved outcomes. Potential Adverse Events Made of laser-cut hypotube technology, CAT7 and CAT12 are designed to increase trackability and torqueability. 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. Please email info@medicalmaterials.com or call us at 877-663-8686 and we will try to locate the product with our suppliers. Initial angiogram showing high thrombus burden in the left circumflex artery. The Indigo Separator 4 is not intended for use as a guidewire. 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. Brandenton, Florida Complications from the use of this device in this manner could lead to death, permanent impairment, and/or the need for emergency medical intervention. Maintain a constant infusion of appropriate flush solution. Penumbra, CAT8TORQ85, Penumbra CAT8 Indigo Aspiration Catheter, Torq Disclosures: None. The Penumbra IndigoSystem Separatoris intended for use with our Indigo Systems CATfamily 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. Neuro | Penumbra, Inc. | Mechanical Thrombectomy & Embolization Equipment is not safe for MR use. Penumbra CAT8TORQ85 CAT8 Indigo Aspiration Catheter 8, TORQ tip, 85cm , 8Fr., Peripheral Thrombectomy Mechanical one each . 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. The Indigo SystemCAT3, CAT5, CAT6, CAT8, CATD, and CAT RX are engineered to be robust, trackable, atraumatic, and well suited for the peripheral anatomy. Do not re-infuse blood or fluid from the canister back into the patient. Mechanical Thrombectomy | Medical Billing and Coding Forum - AAPC Initial angiogram of the right pulmonary artery showing pulmonary embolism. Figure 2. Worcester, Massachusetts 2019;140:e774-e801. Penumbra System BENCHMARK Delivery Catheter - MP - 6Fr x .071" x 105cm - Non-Expired: 6Fr x .071" x 105cm $550.00. For more information on the personal data that is collected by this website, please refer to Penumbras Privacy Notice. Do not use in the presence of a flammable anesthetic mixture with air or nitrous oxide. 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; and Suhail Dohad, MD, FACC. Prior to the procedure, ticagrelor was administered and the patient was taken to the cardiac cath lab for angiography. Do not use in an oxygen rich environment. To avoid the risk of electrical shock, this equipment must only be connected to a supply mains with protective earth. 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. left-arrow Warnings/Precautions Relying on a different mechanism of action, power aspiration with CAT RX and Penumbra ENGINE was able to extract the thrombus intact; thus restoring flow through the graft. Throughout each case, Lightning provides procedural feedback via audio visual cues. Caution: Prior to use, please refer to the Instructions for Use for complete product indications, contraindications, warnings, precautions, potential adverse events, and detailed instructions for use. Use of this equipment adjacent to or stacked with other equipment should be avoided because it could result in improper operation. 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. The CAT8 is indicated for removal of emboli and thrombi from the peripheral . INDIGO Aspiration System Intended Use Pinterest; CAT8 KIT Indigo System Aspiration Catheter 8 and Aspiration Tubing - XTORQ - 8Fr x 115cm Penumbra System) Model #: CAT8XTORQ115KIT OEM: Penumbra System Expiration Date: 2022 Size : 8Fr x 115cm . Initial angiogram showing high thrombus burden in the RCA. 1. The patient had a robust recovery and was discharged to her rehab facility on anticoagulation. $450.00) Model #: CAT8TORQ85 OEM: Penumbra System Expiration Date: 2022 Size: 8Fr x 85cm . Do not resterilize or reuse. 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. . Sista A. Indigo aspiration system for acute pulmonary embolism. The canister is intended for single use only. Presented at: American College of Cardiologys 68th Annual Scientific Session; March 1618, 2019; New Orleans, LA. With automatic valve control, Lightning can help the physician focus on optimizing thrombus removal procedures. Do not use open or damaged packages. This case illustrates the vast improvement in aspiration technology with an easy-to-deliver, trackable catheter that maintains sustained aspiration for the duration of the procedure. Do not use open or damaged packages. Precautions The device is intended for single use only. Ultrasound-guided access was obtained through the right femoral vein. The Indigo Aspiration System should only be used by physicians who have received appropriate training in interventional techniques. Penumbra Cat 8 - IndiaMART The CAT familyof catheters is the foundation of Penumbras Indigo System. Penumbra introduced the Indigo System CAT RX in 2017 for the removal of fresh, soft emboli and thrombi from the . 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. Do not re-infuse blood or fluid from the canister back into the patient. 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. If such use is necessary, LIGHTNING Aspiration Tubing and the other equipment should be observed to verify that they are functioning properly. Do not use kinked or damaged devices. Penumbra's Newest Generation of Indigo Aspiration System Receives FDA Common emitters (such as RFID emitters, security systems, diathermy equipment, and portable transmitters) should not be used in close proximity to the PENUMBRA ENGINE as they can interfere with and result in degradation of the performance of the equipment. CAT RX is an essential tool in our percutaneous coronary armamentarium. gtag('config', 'UA-18982160-1'); Penumbra Inc .cls-1{fill:#a6a699;}.cls-2{fill:#b5121b;}.cls-3{isolation:isolate;fill:url(#linear-gradient);}. Lightning Aspiration Tubing has dual pressure sensors for real-time blood flow monitoring. Penumbra CAT6, Indigo system Aspiration Catheter 6F, 135cm - MedicalEcart Vascular Thrombectomy. 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. (CAT3, CAT RX, CAT5, CAT6, CAT8, and CATD) and patented Separator technology, which maintains continuous aspiration and helps limit clogging of the catheters tip during the procedure. The results may vary depending on a variety of patient specific attributes. 3. Flow through left circumflex artery post-CAT RX. Catheters; CAT8 KIT Indigo System Aspiration Catheter 8 and Aspiration Tubing - XTORQ - 8Fr x 115cm . 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. Prior to use, please consult device labeling and instructions for use. Do not use petroleum based compounds, acids, caustics, or chlorinated solvents to clean or lubricate any parts. Ballad CVA Heart & Vascular Institute Aspiration Tubing Intended Use The Penumbra ENGINE is indicated as a vacuum source for Penumbra Aspiration Systems. Control angiography immediately after thrombectomy demonstrated restored patency . The Indigo System is intended for the removal of fresh, soft emboli and thrombi from vessels of the peripheral and venous systems, and certain central circulatory systems conditions such as pulmonary emboli, using continuous aspiration. Return all damaged devices and packaging to the manufacturer/distributor. CAT RX has become our frontline therapy for rapid3 clot removal in the coronary arteries. The Indigo System CAT3, CAT5, CAT6, CAT8, CATD, and CAT7D are engineered to be robust, trackable, atraumatic, and well suited for the peripheral anatomy. Do not use INDIGO SEPARATOR 4 to macerate or retrieve thrombus distal to the catheter tip. Penumbra Aspiration Pump: The median aspiration time with CAT RX was 35 seconds, with no incidence of stroke within 30 days (Figure 2).3. Figure 2. CAT8XTORQ115KIT-NS. After discussion with the family, a decision was made to take her emergently to the cardiac catheterization laboratory. Jolly SS, Cairns JA, Yusuf S, et al. The combination of intelligent aspiration and large-lumen catheter engineering form Lightning 7 and Lightning 12: the latest generation in clot removal technology. After just one pass with CAT RX and 20 seconds of aspiration, the thrombus was removed. Pulmonary artery peak pressures dropped from the mid 40s to the high 30s. Do not advance, retract or use any component of the Indigo Aspiration System against resistance without careful assessment of the cause using fluoroscopy. 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. INDIGO CAT RX Aspiration Catheters and INDIGO SEPARATOR 4 Indication for Use 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. Indication For Use Jolly SS, Cairns JA, Lavi S, et al. The Indigo System CAT3, CAT5, CAT6, CAT8, CATD, and CAT7D are engineered to be robust, trackable, atraumatic, and well suited for the peripheral anatomy. gtag('config', 'UA-18982160-1'); Penumbra Inc .cls-1{fill:#a6a699;}.cls-2{fill:#b5121b;}.cls-3{isolation:isolate;fill:url(#linear-gradient);}. Vedantham S, Goldhaber SZ, Julian JA, et al. Return all damaged devices and packaging to the manufacturer/distributor. To prevent fire or shock hazard, use a replacement power cord of equal rating. The PENUMBRA ENGINE is intended as a vacuum source for Penumbra Aspiration Systems. Use prior to the Use By date. This warranted the need for further innovation in the field of acute coronary syndrome.2 The goal of the Indigo System CAT RX mechanical aspiration system powered by the Penumbra ENGINE is to provide sustained aspiration for the duration of the procedure with enhanced deliverability to navigate tortuous anatomy and track to the distal coronary vasculature. Jawairia Sahar K. Mirza, MBBS Penumbra Aspiration Pump: She was in a rehab facility prior to this new event recovering from her CVA. Indigo System CAT RX has been designed to address the limitations of traditional treatment options with manual aspiration. 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. 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. The Indigo Aspiration System is contraindicated in: Cardiac Interventions Today (ISSN 2572-5955 print and ISSN 2572-5963 online) is a publication dedicated to providing coverage of the latest developments in technology, techniques, clinical studies, and regulatory and reimbursement issues in the field of coronary and cardiac interventions. The advantages of CAT RX with Penumbra ENGINE include the potential to remove the thrombus intact and reduce the potential of systemic embolization while also increasing the visualization of the underlying stenosis and distal vessel.
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