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Case 1 intra-operative vascular angiography demonstrating (A) iatrogenic distal embolization in the left common femoral artery, and (B) resolution of blood flow after percutaneous suction thrombectomy with Penumbra Indigo System (Penumbra Inc., Alameda, California).
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F1
We confirmed adequate peroneal runoff (Figure 1).
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Case 3 intra-operative vascular angiography demonstrating (A) iatrogenic distal embolization in the right tibio-peroneal trunk, and (B) resolution of blood flow after percutaneous suction thrombectomy with Penumbra Indigo System (Penumbra Inc., Alameda, California).
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F2
Penumbra catheter with intra-arterial nitroglycerin administration for vasospasm prophylaxis. Completion angiogram demonstrated vessel patency to the level of the foot (Figure 2). Post-operative ABIs showed a right DP pressure of 135 mmHg (index of 1.13) with a right great toe pressure of 74 mmHg.
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