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Successful Mechanical Aspiration of Embolized Vessel Fragment During TAVR With Penumbra Indigo Cat Rx Catheter.
Sagheer, Shazib; Prejean, Shane; Litovsky, Silvio; Watts, Thomas; Von Mering, Gregory; Eudailey, Kyle; Ahmed, Mustafa Iltimas.
Afiliação
  • Sagheer S; Tinsley Harrison Tower, Suite 311, 1900 University Boulevard, Birmingham, AL 35233 USA. Shazibcheema@gmail.com.
J Invasive Cardiol ; 33(4): E315, 2021 04.
Article em En | MEDLINE | ID: mdl-33794481
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. Selective left coronary angiography revealed coronary embolism to the left anterior descending/ first diagonal bifurcation. Mechanical aspiration was performed and a small piece of debris was retrieved. We believe it was a broken-off fragment of the femoral artery that migrated on the tip of the TAVR delivery system. This is the first reported case of such a complication.
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Base de dados: MEDLINE Assunto principal: Estenose da Valva Aórtica / Próteses Valvulares Cardíacas / Substituição da Valva Aórtica Transcateter Tipo de estudo: Diagnostic_studies Limite: Animals / Female / Humans Idioma: En Ano de publicação: 2021 Tipo de documento: Article
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Base de dados: MEDLINE Assunto principal: Estenose da Valva Aórtica / Próteses Valvulares Cardíacas / Substituição da Valva Aórtica Transcateter Tipo de estudo: Diagnostic_studies Limite: Animals / Female / Humans Idioma: En Ano de publicação: 2021 Tipo de documento: Article