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

• Published in: Annals of Vascular Diseases Vol. 17; no. 1; pp. 63 - 68
• Main Authors: Kikuchi, Shinsuke, Ohira, Seima, Doita, Tsutomu, Kamada, Keisuke, Kuriyama, Naoya, Tamaru, Yuya, Tatsukawa, Takamitsu, Yoshida, Yuri, Uchida, Daiki, Azuma, Nobuyoshi
• Format: Journal Article
• Language: English
• Published: Japan The Editorial Committee of Annals of Vascular Diseases 01-01-2024; Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
• Subjects: acute limb ischemia; Case Report; endovascular therapy; Indigo Aspiration System; Indigo Aspiration System; endovascular therapy; acute limb ischemia
• ISSN: 1881-641X; 1881-6428
• DOI: 10.3400/avd.cr.23-00095

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.