Patient was brought to cardiac cath lab, prepped and draped in sterile fashion.Procedure went as planned: angiography with runoff, and balloon angioplasty.Findings included occlusion of the femoral below-knee popliteal /tp trunk synthetic graft in its mid segment, which was previously stented, thrombus noted at the distal anastomosis to the tp trunk that was also previously stented.The team decided to proceed with percutaneous intervention of the bypass graft and distal graft-tp trunk anastomosis.When it was time to use the drug-eluting stent, they found the stent partially expanded and severely frayed from the package.It was then taken out of use and exchanged for another one.The procedure went on and was completed with no harm done to the patient.Manufacturer response for coronary drug-eluting stent, synergy¿ xd (per site reporter).Cath lab manager spoke to representative after device was taken out of use.
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