Thrombotic vasculopathy due to polymer coating emboli after an endovascular procedure

Over the past decade, there has been a rise in the use of lubricious polymer-coated devices by interventional cardiologists and vascular surgeons to facilitate access to vasculature and for assistance in placement of endovascular devices.1 These devices enable a less invasive technique for common endovascular procedures. Some drug-eluted variants of polymer devices have the added benefit of releasing a sustained amount of targeted therapeutic agents, while reducing systemic complications.2 However, a significant adverse event associated with polymer-coated devices includes coating separation during endovascular manipulation and subsequent embolism formation.