Access. Deliver. Pack.

Case Examples for Different Applications

angiogram of embolization coils in a vessel

MMA embolization with 3 SwiftPAC coils: 45 cm, 15 cm, 30 cm

MMA Embolization

SwiftPAC^™ coils offered embolization
MIDWAY^™ 43 provided delivery support
BENCHMARK^™071 provided stable, reliable access
A combo designed to support confident, controlled delivery (see case to left)

angiogram of embolization coils placed in a vessel

Proximal vessel sacrifice of LICA/LECA using POD400, PAC400, and PC400. A total of 877 cm of coil delivered by ACCESS25^™

Vessel Sacrifice

POD400^™ + PAC400^™ for vessel sacrifice
.020″ platform offered high volume and flexibility in case
POD400 created a backstop, filled with PAC400
BMX^™81 designed for stable vascular access

Direct CC fistula managed with two complex coils and SwiftPAC: 60 cm, 30 cm, 15 cm

CC Fistula

PC400^™ and SwiftPAC designed for complex fistulas
Offered high volume, flexible design, and embolization
BENCHMARK family is designed to facilitate the therapy of a wide range of conditions

15 mm ICA terminus aneurysm coiled with PC400 and PAC400, 46% PD

Aneurysm

PC400: optimized for aneurysm embolization
Offered large volume with .020″ platform
Supported by BENCHMARK family for stable access

Images used with permission. Consents on file at Penumbra, Inc. Individual results may vary depending on patient-specific attributes and other factors.

Product Line

BENCHMARK BMX Family

6, 7, 8 F catheters up to .096″ ID

Designed to provide access support

Designed to provide arch support
MIDWAY

Designed for the introduction of interventional devices into the vasculature

Designed with REDglide™ Coating in tortuous vasculature
ACCESS25

Designed for Penumbra’s
.020″ coils

90 cm of REDglide Coating: is designed to facilitate smooth trackability

Designed to resist back-out
SwiftPAC

Soft, space-seeking like liquid metal coil

Designed to conform to the target vessel for dense packing

Broad lengths ranging from
3-60 cm
PC400

Designed to support higher packing densities using fewer coils

.020″ volume advantage over
10-System coils

Sizes range from
2–32 mm in diameter and
1–60 cm in length

Real-World Cases: Access. Deliver. Pack.

Post

swiftPAC (45 cm, 15 cm, 30 cm), MIDWAY 43, BENCHMARK 071

MMA Embolization

Dr. Giuseppe Ammirati
Scripps Memorial Hospital, CA

Result: Dense occlusion achieved with 3 SwiftPAC coils; smooth navigation and strong support throughout the case.

Pre & Post

angiogram of coil deployed into neuro embolization

Pre & Post

Pre & Post

Pre & Post

ACCESS25, PC400, PAC, BMX81

ICA Terminus Aneurysm Embolization

Dr. Giuseppe Ammirati
Scripps Memorial Hospital, CA

Result: 15 mm aneurysm treated with PC400 and PAC400 coils; 46% packing density achieved.

Pre, Intra & Post

angiogram of a coil deployed to an aneurysm

Pre, Intra & Post

Angiogram of coil deployed to an auerysm

Pre, Intra & Post

PC400 Extra Soft (4x4 cm, 2x3 cm), ACCESS25, MIDWAY 43, BMX96

Ruptured PICA Aneurysm Embolization

Dr. Rahul Jadhav
Desert Regional Palm Springs, CA

Result: 4 mm ruptured PICA aneurysm treated with 2 coils; 38% packing density achieved using full Penumbra portfolio.

Embolization Coil deployed to an aneurysm

Post, Tracking, Aneurysm Access, Deployment

Post, Tracking, Aneurysm Access, Deployment

PC400 (10 coils: Standard, Soft, Extra Soft, Curve Extra Soft), ACCESS25, MIDWAY 43 (125 cm), BENCHMARK 071, Synchro Standard

ACOM Aneurysm Embolization

Dr. Arthur Wang
East Jefferson General Hospital, LA

Result: 2 cm unruptured ACOM aneurysm embolized with 10 PC400 coils; dense packing achieved with full catheter stability throughout.

Pre, Post

Pre, Post

swiftPAC (60 cm x2), MIDWAY 43, BENCHMARK 071

MMA EMBOLIZATION

Dr. Branden Cord
Dr. Clayton Gerndt
UC Davis Department of Neurological Surgery, CA

Result: Large bilateral cSDH treated with two 60 cm swiftPAC coils; distal MMA occlusion achieved with coil-only approach.

Post

swiftPAC (60 cm, 30 cm, 15 cm), Complex Coils, BMX81

Direct Carotid-Cavernous Fistula Embolization

Dr. Srikanth Boddu
NY Presbyterian

Result: Large direct CCF treated with framing coils and swiftPAC; dense occlusion achieved, supported by BMX81.

Images used with permission and provided for illustrative purposes only. Procedural techniques and decisions based on physician’s medical judgment. Individual results may vary. Consents on file at Penumbra, Inc.

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Designed to Access, Deliver, Pack with confidence in the most challenging cases. Penumbra’s integrated portfolio supports every stage of neurovascular intervention.