| CPC A61M 27/002 (2013.01) [A61B 17/12045 (2013.01); A61B 17/12136 (2013.01); A61F 2/00 (2013.01); A61F 2/06 (2013.01); A61M 1/00 (2013.01); A61M 25/10184 (2013.11); A61M 60/13 (2021.01); A61M 60/237 (2021.01); A61M 60/414 (2021.01); A61M 60/523 (2021.01); A61M 60/531 (2021.01); A61M 60/585 (2021.01); A61M 60/806 (2021.01); A61M 60/833 (2021.01); A61M 60/865 (2021.01); A61F 2002/068 (2013.01); A61M 2025/1015 (2013.01); A61M 2025/1022 (2013.01); A61M 2025/1052 (2013.01); A61M 2025/1097 (2013.01); A61M 2202/0405 (2013.01); A61M 2205/3317 (2013.01); A61M 2205/3344 (2013.01); A61M 2205/8206 (2013.01); A61M 2210/12 (2013.01); A61M 2230/30 (2013.01)] | 14 Claims |

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1. A method of treating a condition, the method comprising:
navigating a catheter system into a vein of a patient, wherein the catheter system comprises:
an impeller assembly comprising an impeller housing with an impeller therein;
a distal restrictor mounted around at least a portion of a proximal end of an exterior surface of the impeller housing, wherein the distal restrictor is positioned at least partially proximal to the impeller and configured to direct fluid from an upstream side of the restrictor to the impeller; and
a proximal restrictor located on the catheter system proximal to the impeller assembly:
implanting the impeller assembly in a segment of a vein downstream of a confluence of a branch vessel with the vein;
placing the proximal restrictor in a second segment of the vein upstream of the confluence; and
operating the impeller assembly and/or the proximal restrictor to create a low pressure region in the branch vessel while allowing fluid to flow from the second segment, past the restrictor balloon, through the impeller assembly, and into the first segment of the vein downstream of the confluence.
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