Super-Elderly Case of Acute Lower Limb Ischemia Treated with Indigo Aspiration System in Japan

Shinsuke Kikuchi; Seima Ohira; Tsutomu Doita; Keisuke Kamada; Naoya Kuriyama; Yuya Tamaru; Takamitsu Tatsukawa; Yuri Yoshida; Daiki Uchida; Nobuyoshi Azuma

doi:10.3400/avd.cr.23-00095

Case Report

Super-Elderly Case of Acute Lower Limb Ischemia Treated with Indigo Aspiration System in Japan

Shinsuke Kikuchi, Seima Ohira, Tsutomu Doita, Keisuke Kamada, Naoya Kuriyama, Yuya Tamaru, Takamitsu Tatsukawa, Yuri Yoshida, Daiki Uchida, Nobuyoshi Azuma

Author information

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 Corresponding author
Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan

Keywords: acute limb ischemia, Indigo Aspiration System, endovascular therapy

JOURNAL OPEN ACCESS

2024 Volume 17 Issue 1 Pages 63-68

DOI https://doi.org/10.3400/avd.cr.23-00095

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Details

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.

Corresponding author

Funder information

1.Fund name: Asahikawa Medical University Surgical Educational Support Organization

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