Reportable based on device analysis completed on 11sep2020.It was reported that crossing difficulties were encountered.Vascular access was obtained via the right femoral artery.The 90% stenosed, 18 x 3.00mm, concentric, de novo target lesion containing a bend of between greater than 45 and less than 90 degrees was located in the severely tortuous and mildly calcified left anterior descending artery.Pre-dilatation was performed with a 9 x 2.50mm maverick 2 balloon catheter resulting in 70% stenosis.A 20 x 3.00 promus elite drug-eluting stent was then advanced but failed to cross the lesion.The device was removed and multiple pre-dilatations were performed but the stent still failed to cross.The procedure was completed with a 18 x 3.00mm non-boston scientific stent.No patient complications were reported and the patient was stable.However, returned device analysis revealed stent damage.
|