It was reported that the removal difficulties and shaft break occurred; and the patient died.The patient presented with severe aortic stenosis (as) and was sent to catheterization lab as st elevation myocardial infarction.Vascular access was obtained via right radial access.The 90% occluded target lesion was located in the moderately calcified and non-tortuous ostial left main (lm) artery.A 6f jl 3.5 guide with side holes together with a.014 non- boston scientific (bsc) guidewire was advanced for treatment.The lesion was directly stented with a 5.00 x 8 megatron drug eluting stent at the ostium of the lm.When attempting to remove the balloon of the stent delivery system (sds), the sds became stuck in the stent in lm and the distal shaft was separated.The proximal shaft of the sds was removed but the distal part remained in the patient.The physician attempted to pull negative on the balloon multiple times without success and also attempted to inflate and then deflate the balloon with gentle pull back of the sds; however, these were unsuccessful.Physician attempted to implant mechanical circulatory support (mcs), but due to severe as it could not be completed.The patient then coded and expired before other removal attempts could be performed.
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