Right common femoral artery entered with micropuncture needle on first attempt.Microwire first passed, went up into the renal bypass area, repositioned, then into the external iliac artery under fluoroscopy; however, could not pass beyond the proximal portion of the right external iliac artery, despite multiple attempts.With that being the case, i then inserted a microsheath and we did a hand injection, which showed no defect in the ap view.I did several small obliques, again could not see any issue.My plan was therefore to remove the microwire and try to pass a j-tip and in the process of removing that, it snagged on what appears to be plaque in the common femoral artery.Even with removal of the sheath this being the microsheath, could not retrieve the wire and therefore had to pull this back.With this in mind, i did let it to go but the tip did not appear to be intact and fluoroscopy showed that there was probably a cm and a half or so portion; all the wires still in what appeared be soft tissues.Tried to treat this percutaneously, but could not.Therefore, applied additional local into the area and did a small about 1-1/4 inch cutdown.Identified the wire into the soft tissues and removed it completely.Upon inspection, there was no knot in the wire, appeared to be kinked and it appeared to be snagged on a plaque on the anterior medial side of the common femoral artery at a puncture site.
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