It was reported that the procedure was to treat a lesion in the proximal superficial femoral artery (sfa) with heavy calcification.The stealth atherectomy device was used, however the device got stuck during removal.The device was removed intact and was replaced with a new stealth device.The second stealth device also got stuck during removal.The device was removed intact.The 8.0x60mm armada balloon dilatation catheter (bdc) was prepared (air aspiration) outside the anatomy prior to use and contrast mix was 75/25.The bdc was advanced and resistance was felt during advancement due to calcification.The balloon catheter was pushed a little harder and the catheter crossed.The balloon was inflated twice to 6atm for approximately one minute and negative was held for 30 seconds, but the balloon only partially deflated.The bdc was removed with some resistance and light force was applied; however, the balloon separated in the anatomy.The patient was bleeding, a perforation occurred.The patient went for open surgery for removal of the balloon and to treat the perforation.The separated portion of the balloon was removed from the anatomy.There was no adverse patient sequelae and there was no clinically significant delay in the procedure.No additional information was provided.
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