It was reported the first layer of the catheter seemed to be disconnected from the second layer and there was difficulty removing the jetstream catheter from the sheath.This 2.4mm jetstream xc atherectomy catheter was selected for use to treat a total occlusion of a prosthetic graft at the common/superficial femoral artery region.The jetstream catheter was passed through a 7fr 40cm crossover sheath using an abbott 0.14 filter bare wire and rotoglide lubricant/saline.The total run time was approximately six minutes with two passes (one blades down and one blades up).The surgeon tried to advance catheter for a third pass, but resistance was felt and the catheter could not track.During removal, there was difficulty removing the catheter from the sheath.The catheter was carefully able to be removed from 7fr crossover sheath, and visual observation of the catheter found that the first layer of the catheter seemed to be disconnected from the second layer of catheter.The procedure was completed successfully using a new jetstream without sequalae.
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