Left groin treating right leg.No access issues, no concern about case.Cto distal sfa, disease in common femoral.Crossed cto easily.Used ivis.Used rotarex in common fem, moved to distal sfa.2/3 the way through hit "rock", 80% stenosed.Bogged down.Clutched out twice, then pushed past the stenosis to treat farther down.Back and forth motion peck motion.Moved away and down tpt drunk.Noticed slower aspiration but working normal.Removed device, set aside, didn't notice tip was missing from device.Rotarex catheter fracture when crossing the bifurcation.Trouble putting balloon into sheath.Looked at flouro - saw helix inside of sheath, still on wire but distal to sheath.Used snare to remove device.Fragment was 1/3 of helix length.All got pushed out distal to sheath when balloon was put in.Added ~3min to case to retreive device.7fr cook ansel sheath, not a high flex.When wire pinned, when finishing up and getting ready to pull device out (finishing distal tpt trunk), the wire started to feel warm.Device running when removed through cto.
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