Video Supplement to “Successful Mechanical Aspiration of Embolized Vessel Fragment During TAVR With Penumbra Indigo Cat Rx Catheter” by Sagheer, et al. (April 2021 Clinical Images).
An 81-year-old female with severe aortic valve stenosis underwent TAVR using the right femoral approach. Shortly after successful deployment of a 29 mm Evolut Pro valve (Medtronic), the patient became hypotensive and ST depressions were noted on telemetry. This selective left coronary angiography series reveals coronary embolism to the left anterior descending/first diagonal bifurcation, as well as its subsequent mechanical aspiration and retrieval of a small piece of debris. We believe it was a broken-off fragment of the femoral artery that migrated on the tip of the TAVR delivery system.