It was reported that shaft break occurred.The 90% stenosed target lesion was located in the moderately tortuous and severely calcified left anterior descending artery (lad) and obtuse marginal artery.A 2.50 x 48 synergy drug-eluting stent (des) was advanced in mid-distal lad.However, during the procedure, it failed to cross the lesion and the shaft was broken inside patient.The device was removed and tried to cross again with a 2.25 x 20 synergy des and a 2.25 x 12 synergy des, but also failed to cross the lesion and the shaft of the two devices were also broken inside the patient.Both devices were removed, and percutaneous old balloon angioplasty was performed with a 1.50 x 09mm maverick balloon catheter to complete the procedure.No patient complications were reported.
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Device evaluated by mfr.: synergy ous mr 2.25 x 20mm was returned to the complaint investigation site.Visual, tactile and microscopic analysis revealed multiple kinks and a break at 18cm distal to the distal end of the strain relief were identified along the hypotube shaft of the device.A visual and tactile examination of the outer and inner lumen and mid-shaft section found no issues.Visual examination identified the stent had damage at the distal section.Microscopic examination of the crimped stent via scope found evidence of stent damage with stent stretched & lifted at the distal section.Balloon cones were reviewed, and no issues were noted.Balloon wings were tightly wrapped and evenly folded and were not subjected to positive pressure.No signs of movement, stent was set between the proximal and distal markerbands.Bumper tip showed no signs of distal tip damage.Dimensional analysis included measurement of the undamaged crimped stent outer diameter and the result was within max crimped stent profile measurement.No other issues were identified during analysis.
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