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It was reported that balloon rupture, catheter separation, and removal difficulty occurred requiring additional intervention.The 100% stenosed target lesion was located in the severely calcified superficial femoral artery.The lesion was successfully crossed and pre-dilated using a sterling balloon (size unknown).An eluvia stent was then deployed in the lesion.Subsequently, a 5.0 x 80mm, 135cm ranger drug coated balloon was used to treat a more distal popliteal lesion.During a subsequent inflation within the newly placed eluvia stent, the ranger balloon ruptured on the second inflation.The entire catheter shaft was also broken.Following the rupture, the physician experienced significant difficulty retracting the damaged device through the stent, lesion, and sheath.Because the balloon had ruptured, vacuum could not be maintained, and complete deflation could not be confirmed.A snare was required to retrieve the damaged balloon catheter from the patient.The device was removed successfully, and no fragments were reported to have remained in the patient.Upon removal, severe physical damage was noted and was described as being in a "curly-q" configuration.The procedure was completed as planned.There were no patient complications as a result of this event.The patient was stable post procedure.
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