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Kikuchi S, Ohira S, Doita T, Kamada K, Kuriyama N, Tamaru Y, Tatsukawa T, Yoshida Y, Uchida D, Azuma N. Super-Elderly Case of Acute Lower Limb Ischemia Treated with Indigo Aspiration System in Japan. Ann Vasc Dis 2024; 17:63-68. [PMID: 38628935 PMCID: PMC11018105 DOI: 10.3400/avd.cr.23-00095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 12/18/2023] [Indexed: 04/19/2024] Open
Abstract
The Indigo Aspiration System (Penumbra Ltd., Alameda, CA, USA), a catheter-based device intended for the endovascular removal of clots from peripheral arteries and veins, was launched in Japan to treat acute limb ischemia after the cessation of urokinase sales. The initial application of this system in Japan was on a 96-year-old male patient. He was diagnosed with acute lower limb ischemia, which was caused by an embolism from a left common iliac artery aneurysm. The treatment significantly enhanced the perfusion to his left foot. This case report elaborates on the patient's treatment experience and discusses the indications for using the device.
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Affiliation(s)
- Shinsuke Kikuchi
- Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
| | - Seima Ohira
- Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
| | - Tsutomu Doita
- Department of Cardiovascular Surgery, Osaka University, Suita, Osaka, Japan
| | - Keisuke Kamada
- Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
| | - Naoya Kuriyama
- Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
| | - Yuya Tamaru
- Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
| | - Takamitsu Tatsukawa
- Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
| | - Yuri Yoshida
- Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
| | - Daiki Uchida
- Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
| | - Nobuyoshi Azuma
- Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
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Erkul GSA, Erkul S, Parlar AI, Cekirdekci A. A Probable Covid-19 Case Presented with Acute Upper Limb İschemia. Ann Vasc Surg 2021; 76:285-288. [PMID: 33992721 PMCID: PMC8118708 DOI: 10.1016/j.avsg.2021.05.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2021] [Revised: 04/24/2021] [Accepted: 05/05/2021] [Indexed: 01/04/2023]
Abstract
The arterial revascularization procedure is still a challenging issue in Covid-19 associated limb ischemia. Herein we aimed to present a case of a 64 year-old woman with acute ischemic signs in upper extremity who was diagnosed as a probable Covid-19 case incidentally after admission. Although late admission and failed recurrent embolectomies lead to an eventful course, intra-arterial thrombolysis seemed to present a benefitable treatment option for our patient.
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Affiliation(s)
- Gulen Sezer Alptekin Erkul
- Correspondence to: Gulen Sezer Alptekin Erkul, Department of Cardiovascular Surgery, Faculty of Medicine, Kutahya University of Health Sciences, Yunus Emre Mah. Mescid-i Aksa Sok. Park Bulvar Evleri No: 1, Kütahya43020, Turkey
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