It was reported that the patient experienced pain, and the jetstream either dissected the vessel or potentially entered the subintimal space.A 2.4mm jetstream xc atherectomy catheter was selected for use in an atherectomy procedure to treat a chronic total occlusion (cto) in the superficial femoral artery (sfa).Intravascular ultrasound (ivus) was used prior to jetstream, and the physician believed that the ivus device was in the true lumen.A non-boston scientific filter wire was used.The jetstream was used in blades down mode initially followed by blades up mode, which is when the patient commented on some pain.There was no pain in blades down mode.After using the jetstream device, it appeared that a dissection occurred in the sfa just above the location where the jetstream was used based on ivus.However, there was speculation that it was not a dissection, and the device crossed some subintimal space.Angioplasty was then performed with a non-boston scientific balloon followed by a 5mm x 100mm x 135cm ranger drug-coated balloon.The procedure was successfully completed.The patient was expected to fully recover.
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