It was reported that balloon rupture occurred.Vascular access was obtained utilizing a crossover approach.The 100% stenosed target lesion was located in the severely tortuous and severely calcified iliac artery.After the lesion was crossed with jupiter max guidewire, a 2mm x 20mm x 143cm coyote es balloon catheter was advanced but failed to cross the lesion.Subsequently, a 1.5mm x 20mm x 143cm coyote es balloon catheter was advanced, but it also failed to cross the lesion.The crossover was discontinued and a change to the approach from the left bra was performed.After the lesion was crossed again with jupiter max guidewire, a 1.5mm x 20mm x 143cm coyote es balloon catheter was advanced for dilatation, however, during inflation at 8 atmospheres, the balloon ruptured.A 2mm x 20mm x 143cm coyote es balloon catheter was advanced, but it also ruptured during inflation.The procedure was completed with a 4mmx2cm coyote balloon catheter.There were no patient complications reported.
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