Made of laser-cut hypotube technology, CAT7 and CAT12 are designed to increase trackability and torqueability. The CAT family of catheters is the foundation of Penumbra's Indigo system. Do not use kinked or damaged devices. For more information on the personal data that is collected by this website, please refer to Penumbras Privacy Notice. We have found the trackability of CAT RX to be easily navigable for hard-to-reach distal vessels. Catheters - Aspiration Catheters - Page 1 - Medical Materials Penumbra, CAT8STR85, Penumbra CAT8 Indigo Aspiration Catheter, Straight 8: Add BMK6F95M-NE . 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). Also find Catheter price list from verified suppliers with contact number | ID: 23694008673 Brian Kolski, MD The Penumbra System is a fully-integrated system designed specifically for mechanical thrombectomy, first receiving 510(k) clearance by the FDA in December 2007. The product-specific content of this website is intended for use by healthcare professionals only. PENUMBRA: CAT3 - westcmr.com Penumbra's not relying on software alone. The INDIGO SEPARATOR 4 is not intended for use as a guidewire. Precautions The CAT family of catheters is the foundation of Penumbra's Indigo system. 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. Created with Sketch. 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 . Mechanical thrombectomy was performed. This content is not intended to offer professional medical advice. 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. gtag('config', 'UA-18982160-1'); Penumbra Inc .cls-1{fill:#a6a699;}.cls-2{fill:#b5121b;}.cls-3{isolation:isolate;fill:url(#linear-gradient);}. 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.). Suhail Dohad, MD, FACC Only use replacement fuse with correct rating (see Table 1 for fuse rating). Indigo Aspiration System (CAT RX and Separator 4)- Penumbra Engine Pump and Canister. window.dataLayer = window.dataLayer || []; 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. CAT8 KIT Indigo System Aspiration Catheter 8 and Aspiration Tubing She had acute tubular necrosis with minimal urine output at the time of transfer. J Am Coll Cardiol. Due to continual vomiting, an electrocardiogram was obtained that showed an acute MI. gtag('js', new Date()); Figure 2. Do not use in the presence of a flammable anesthetic mixture with air or nitrous oxide. Lightning comes packaged with the Indigo CAT7, CAT8 or CAT12. Interventional Cardiology Do not advance, retract or use any component of the Indigo Aspiration System against resistance without careful assessment of the cause using fluoroscopy. Ruby Coil, POD, and Packing Coil work in conjunction to help facilitate simplified and efficient embolization procedures. waqas.qureshi@umassmemorial.org Figure 2. 0, 26. Penumbra's Newest Generation of Indigo Aspiration System Receives FDA Distal emboli causing PDA occlusion after manual aspiration. Penumbra Augments Vascular Franchise with Latest Indigo System Launch There was partial improvement of flow, but total occlusion remained. The Indigo System can provide immediate mechanical relief by extracting clot while decreasing pressures using sustained power aspiration without the need for thrombolytics. PENUMBRA ENGINE Indication for Use indicated to connect the INDIGO CAT RX Aspiration Catheters to the Penumbra Aspiration Pump. Penumbra CAT8XTORQ115 CAT8 Indigo System Aspiration Catheter 8F Item Past Expiration. Related Items. The Swan-Ganz catheter was exchanged over a long V18 wire. Applicant. Available in a selection of sizes, the CAT family can provide access to distal peripheral . Mechanical Thrombectomy | Medical Billing and Coding Forum - AAPC Worcester, Massachusetts Distal posterior tibial artery emboli occlusion. gus.theodos@bjc.org; @gtheodosmd The pain became more intense and constant, so he presented to the ED. Penumbra Aspiration Pump: The Indigo SystemCAT3, CAT5, CAT6, CAT8 and CATDare engineered to be robust, durable, and trackable for use in the peripheral anatomy. Indigo System | Penumbra Inc 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. For more information on the personal data that is collected by this website, please refer to Penumbras Privacy Notice. There are no contraindications. MAUDE Adverse Event Report: PENUMBRA, INC. INDIGO SYSTEM CAT 8 Caution: Federal (USA) law restricts this device to sale by or on the order of a physician. Contraindications There are no known contraindications. Do not resterilize or reuse. 5 and 94. 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. There were no cases of 30-day cardiovascular death or post procedural stroke. QUICK VIEW. CAT8 Indigo System Aspiration Catheter - TORQ - 8Fr x 85cm Unrestrained torquing or forced insertion of the catheter or SEPARATOR against resistance may result in damage to the device or vessel. Use of this equipment adjacent to or stacked with other equipment should be avoided because it could result in improper operation. Initial angiogram showing high thrombus burden in the left circumflex artery. Do not use open or damaged packages. Randomized trial of primary PCI with or without routine manual thrombectomy. Reuse may result in canister cracking or vacuum filter blockages, which may result in the inability to aspirate. Disclosures: None. 2: Add 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. Contraindications There are no known contraindications. Peripheral Thrombectomy Indigo System Mechanical Thrombectomy CAT6 Indigo Catheter 6, Straight tip 135cm. Do not use kinked or damaged devices. 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. Otherwise, this could result in degradation of the performance of this equipment. Indigo System Catheters & Separators | Penumbra Inc Ballad CVA Heart & Vascular Institute 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. 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 . The initial angiogram revealed TIMI 0 flow in the proximal right coronary artery (RCA) due to plaque rupture. Gus Theodos, MD, FACC, FSCAI 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. To prevent fire or shock hazard, use a replacement power cord of equal rating. A second angiogram showed extensive clot burden spread across multiple branches (Figure 2). 0, 24. These data are encouraging and have led to the next stage in data collection through the CHEETAH studya 400-patient, prospective, observational study evaluating the initial safety and performance of the Indigo Aspiration System CAT RX. Aspiration Tubing Intended Use Penumbra's LANTERN Delivery Microcatheter integrates a highly trackable 2.6 F microcatheter with a high-flow lumen to facilitate confident delivery of Ruby Coil, POD, and Packing Coil even in tortuous anatomy. Do not position the PENUMBRA ENGINE so that it is difficult to remove the power cord. Penumbra's high-performance aspiration catheters. We directly stented with a 3.5- X 38-mm Synergy DES and postdilated with a 4- X 20-mm noncompliant balloon. 1. Penumbra Aspiration Pump: The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems. Maintain a constant infusion of appropriate flush solution. She had a recent embolic cerebrovascular accident (CVA) with a hemorrhagic conversion and right-sided hemiparesis but was otherwise known to be very functional. The Indigo System CAT8 catheter comes in three different tip designsstraight, 45, 90which allows a wide range of rotation. Do not use in the presence of a flammable anesthetic mixture with air or nitrous oxide. Final angiographic result of SVG. INDIGO Aspiration System with LIGHTNING Aspiration Tubing Indication for Use 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. Do not block bottom air vents. After IVUS, the stent was dilated to 3.75 mm. Do not use Indigo Separator 4 to macerate or retrieve thrombus distal to the catheter tip. This content is not intended to offer professional medical advice. Possible complications include, but are not limited to, the following: Made of laser-cut hypotube technology, CAT7 and CAT12 are designed to increase trackability and torqueability. 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. suhail.dohad@cshs.org Penumbra Aspiration Pump: She was in a rehab facility prior to this new event recovering from her CVA. Learn more about Lightning. The Indigo System CAT3, CAT5, CAT6, CAT8 and CATD ?are engineered to be robust, durable, and trackable for use in the peripheral anatomy. Its engineers designed low-profile, high-power aspiration catheters called Cat 7 and Cat 12 that were launched in 2021. Do not advance, retract or use any component of the INDIGO System against resistance without careful assessment of the cause using fluoroscopy. 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. No modification of this equipment is allowed. The INDIGO Aspiration Tubing: Final angiogram showing resolution of extensive thrombus burden. INDIGO Aspiration System Intended Use The final angiographic outcome revealed complete revascularization and TIMI 3 flow (Figure 2). Maintain a constant infusion of appropriate flush solution. Further evaluation of the returned device revealed kinks in the catheter shaft. Catheters; CAT8 KIT Indigo System Aspiration Catheter 8 and Aspiration Tubing - XTORQ - 8Fr x 115cm . Do not reuse. Disclosures: None. The results may vary depending on a variety of patient specific attributes. 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. 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. 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 means of mains disconnect is to remove the power cord. The Indigo Aspiration System should only be used by physicians who have received appropriate training in interventional techniques. Contraindications The Penumbra IndigoSystem Separatoris intended for use with our Indigo Systems CATfamily of catheters to enable the removal of a wide range of thrombus. 510(k) Premarket Notification - Food And Drug Administration 3. Most recently, Penumbra launched Lightning Intelligent Aspiration which enables physicians to focus on optimizing thrombus removal using the system's unique clot detection mechanism. INDIGO System LIGHTNING Aspiration Tubing Intended Use The Indigo System CAT3, CAT5, CAT6, CAT8, CATD, and CAT RX are engineered to be robust, trackable, atraumatic, and well suited for the peripheral anatomy. The large aspiration lumen and highly trackable, low-profile design coupled with the power of the Penumbra ENGINE resulted in the successful removal of the emboli in one pass. Indigo Aspiration Catheters (CAT) are the foundation of Penumbra's Indigo System. 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. The built-in microprocessor features a proprietary thrombus removal algorithm that automatically controls a valve in the tubing to provide continuous or intermittent aspiration. 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. Figure 2. With automatic valve control, Lightning can help the physician focus on optimizing thrombus removal procedures. Penumbra Aspiration Pump: The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems. 22. Potential Adverse Events CAT8 Indigo Aspiration Catheter 8, TORQ tip, 85cm , 8Fr., Peripheral Thrombectomy Mechanical one eachCAT8 Indigo Aspiration Catheter 8, TORQ tip, 85cm , 8Fr., Peripheral Thrombectomy Mechanical one eachCAT8 Indigo Aspiration Catheter 8, TORQ tip, 85cm , 8Fr., Peripheral . 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. Do not use in oxygen rich environment. The Indigo System utilizes the Penumbra ENGINEaspiration source capable of delivering nearly pure, continuous vacuum to our catheters to remove thrombus in vessels of various sizes. 1. N Engl J Med. Do not use in the presence of a flammable anesthetic mixture with air or nitrous oxide. MAUDE Adverse Event Report: PENUMBRA, INC. INDIGO SYSTEM ASPIRATION 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 . With the maximized inner diameter of 0.082 and a 7 French outer diameter, CAT7 is 93% the size of CAT8, now with a lower profile. Available in a selection of sizes, the CAT family can provide access to distal peripheral vessels of the upper and lower . Do not use the INDIGO Aspiration System with a pump other than the Penumbra Aspiration Pump. Remove and service the PENUMBRA ENGINE if liquids or solids have been drawn into the PENUMBRA ENGINE. 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. INDIGO Aspiration System Indication for Use 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. Warnings/Precautions The INDIGO Aspiration System is intended to serve as a conduit to assist in thrombus removal and restoration of blood flow in the peripheral vasculature and for the treatment of pulmonary embolism. Units in stock: 1. Copyright 2023 Penumbra, Inc. All rights reserved. Do not resterilize or reuse. 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). This allowed prompt treatment of patients with minimal intensive care unit days and early discharge from the hospital. Warnings Do not use the INDIGO Aspiration System with a pump other than a Penumbra Aspiration Pump. Bradenton Cardiology Center/Manatee Memorial Hospital Director, Structural Heart This is potentially more effective than diminished syringe-based aspiration. If the cause cannot be determined, withdraw the device or system as a unit. Do not use kinked or damaged devices. Return all damaged devices and packaging to the manufacturer/ distributor. After just one pass with CAT RX and 20 seconds of aspiration, the thrombus was removed. Use prior to the Use By date. Initial experience with a mechanical aspiration catheter for thrombus removal during percutaneous intervention: a multicenter retrospective case series. Final angiogram confirming thrombus removal and restoration of flow to the pedal arch. Penumbra Announces U.S. Commercial Availability of INDIGO System Precautions The device is intended for single use only. The procedure can be performed quickly,1 which is important for symptomatic patients. Penumbra, CAT8TORQ85, Penumbra CAT8 Indigo Aspiration Catheter, Torq The initial angiogram confirmed an occlusion with extensive thrombus burden of a dominant left circumflex artery and TIMI 0 flow (Figure 1). When performing aspiration, ensure that the INDIGO Aspiration Tubing is open for only the minimum time needed to remove thrombus. Continuous Aspiration Mechanical Thrombectomy Catheters (CAT) are the foundation of Penumbra's Indigo System. Separator 8, 150 cm Length, 0.072 in. Photo: Courtesy of Business Wire. The CAT familyof catheters is the foundation of Penumbras Indigo System. chronic clot, atherosclerotic plaque) Reuse may result in canister cracking or vacuum filter blockages, which may result in the inability to aspirate. Mechanical Power Aspiration With the Indigo - Endovascular Today Do not use open or damaged packages. 2023 Bryn Mawr Communications II, LLC. UPC: Current Stock: . 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. Figure 1. Penumbra CAT8 KIT Indigo Aspiration Catheter 8 & Aspiration Tubing, XTorq Tip 115cm x 8F (NON-STERILE) Expired. Lightning Flash: The Most Powerful and Advanced Mechanical The PENUMBRA ENGINE is indicated as a vacuum source for Penumbra Aspiration Systems. Excessive aspiration or failure to close the Indigo Aspiration Tubing valve when aspiration is complete is not recommended. To prevent fire or shock hazard, use a replacement power cord of equal rating. The combination of intelligent aspiration and large-lumen catheter engineering form Lightning 7 and Lightning 12: the latest generation in clot removal technology. Penumbra enrols first patient in CHEETAH Study of Indigo CAT RX device Pharmacomechanical catheter-directed thrombolysis for deep-vein thrombosis. Initial angiography revealed an occlusion of the distal RCA. University of Massachusetts Medical School 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. . The CAT family of catheters is the foundation of Penumbra's Indigo System. Do not resterilize or reuse. Do not use automated high-pressure contrast injection equipment with the INDIGO Aspiration Catheter because it may damage the device. LIGHTNING Aspiration Tubing is a sterile aspiration tubing component of the INDIGO Aspiration System and is intended to serve as a conduit to assist in thrombus removal and restoration of blood flow in the peripheral vasculature and for the treatment of pulmonary embolism. The Indigo System with Lightning Aspiration Tubing is a computer-aided aspiration system powered by Penumbra ENGINE. Penumbra Aspiration Pump The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems. . Cook Medical) with the Indigo System (Penumbra, Inc.) using a CAT8 catheter and SEP8 separator to maximise the debris removal. 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. The INDIGO Aspiration System should only be used by physicians who have received appropriate training in interventional techniques. BJC Cardiology If the cause cannot be determined, withdraw the device or system as a unit. 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. Thrombus aspiration in patients with high thrombus burden in the TOTAL trial. Additional Details. 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 and CAT8 - Endovascular Today Precautions The device is intended for single use only. Each vessel was wired sequentially, delivering power aspiration via CAT RX to the site of each thrombus. Smidt Heart institute 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. 3. The Indigo System CAT3, CAT5, CAT6, CAT8 and CATD ?are engineered to be robust, durable, and trackable for use in the peripheral anatomy. There was an immediate response in the clinical situation of the patient: her blood pressure stabilized into the 90s and her oxygenation improved substantially. The patient had reported intermittent chest discomfort for 3 days, with some improvement with his daily medications. 0 cm from the hub. 2019;140:e774-e801. Do not use the INDIGO Aspiration System with a pump other than the Penumbra Aspiration Pump. Indigo System CAT RX has been designed to address the limitations of traditional treatment options with manual aspiration. 2. 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. Do not use open or damaged packages. Penumbra CAT8TORQ85 CAT8 Indigo Aspiration Catheter 8, TORQ tip, 85cm Power aspiration with CAT RX has allowed us to successfully remove thrombus in patients presenting with acute coronary syndrome, establishing quick distal reperfusion and also visualization of the underlying stenosis. 2015;372:1389-1398. When performing aspiration, ensure that the INDIGO Aspiration Tubing is open for only the minimum time needed to remove the thrombus. Warnings Do not use the INDIGO Aspiration System with a pump other than a Penumbra Aspiration Pump. PENUMBRA ENGINE Intended Use 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. The complaint has been evaluated. System Chair, Clinical Research The Indigo system CAT3, CAT5, CAT6, CAT8 and CATD are engineered to be robust, trackable, atraumatic and well suited for the peripheral anatomy. We presented our initial experience at the American College of Cardiologys (ACC) 68th Annual Scientific Session, which showed promising results for mechanical power aspiration for thrombus removal during percutaneous intervention using CAT RX.3 This retrospective case series included 59 patients from four institutions around the United States. 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. CHEETAH will focus on patients presenting with high-grade thrombus burden who receive frontline treatment with CAT RX. Download scientific diagram | A, Penumbra Indigo System Continuous Aspiration Mechanical Thrombectomy Catheter (CAT8). Penumbra, Inc. One Penumbra Place. 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. 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.
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