It was reported that the stent moved on the balloon requiring additional intervention.The patient presented with coronary artery disease and underwent a st elevation myocardial infarction (stemi) procedure of the target lesion located in the left anterior descending (lad) artery.A 3.00 x 38mm synergy xd drug-eluting stent was selected for use.Upon inspection of the device prior to use, there was no damage noticed on the device.During advancement of the device over the guidewire, there was no noticeable resistance noted.The stent was deployed successfully and was well-apposed.However, prior to deployment, it was noted that the balloon markers were not in proximity to the stent and angiogram showed that the balloon was longer than the stent.It was noted that there was roughly 10-12mm of balloon overhang between the proximal marker and the proximal edge of the stent.The physician decided to deploy the stent as the procedure was time sensitive and the patient was in critical condition.Although there were no issues with this stent, the physician decided that they needed to place a 3.50 x 12mm synergy xd drug-eluting stent proximal to the previously placed stent due to the balloon overhang.No patient complications were reported.
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