Physician was attempting to use a turbohawk plus directional atherectomy during procedure along with non-medtronic 6fr sheath and 0.
014" guidewire during procedure to treat a moderately calcified soft tissue lesion in the right mid superficial femoral artery (sfa) and popliteal artery (pop) with 60% stenosis.
The vessel was moderately tortuous.
The vessel diameter and lesion length are 5mm and 40mm respectively.
The vessel was not pre dilated but post dilated.
Ifu was followed.
Tip detachment/damage occurred with a moderate resistance felt during advancement.
The tip did not separate at the hinge pin.
It was reported that after the first pass/cut was made with the turbohawk, when tech pulled thumb switch back to turn off device, it did not want to completely shut off.
Therefore, the tech proceeded to turn off the battery pack and the device was removed.
The physician did not want to waste time and asked for the device to be put in a biohazard bag.
A hawkone was then attempted to continue procedure, and it was reported that when advancing the hawkone-s, physician felt a lot of resistance, after getting it through the sheath, the device performed well.
When removing the device, physician felt event more resistance than when advancing it.
The catheter came out without the nosecone.
The nosecone stayed stuck in the proximal end of the sheath.
Physician continued to remove wire, while thinking of removing the entire sheath, but then the detached tip came out with the wire.
Physician used another hawkone-s, and post dilated the sfa and popliteal arteries with an evercross 5x150 pta balloon.
There is no patient injury reported.
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