In an in-stent restenosis procedure involving the femoral artery, a 2.3 turbo elite device was in use when, after 2 passes, the team smelled melted plastic and the laser system indicated an error.The guide wire in the procedure was damaged, and when the turbo elite device was removed, it was observed that it was damaged at the tip, with reported hydrophilic particles present.A new device was then used with a different type of guide wire, and the procedure was completed successfully with no reported patient harm.
|