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It was reported that withdrawal difficulty and collar fracture occurred.The 90% stenosed target lesion was located in the moderately tortuous and mildly calcified left anterior descending artery.A 6f guidezilla ii guide extension catheter was selected for use.When the device was advanced through the proximal and curved segments of the target vessel, there was a significant increase in resistance, and it was difficult to cross the angulation.Abnormal tension was encountered during withdrawal of the catheter.Upon inspection, the catheter exhibited a collapsed and kinked distal reinforcement section.Further examination revealed lumen narrowing and deformation, along with a localized fracture of the metal braided wires, consistent with structural failure of the distal segment.The device was removed without any problem using normal method.The procedure was completed with another of the same device.There were no patient complications, and the patient condition following the procedure was stable.
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