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It was reported that the procedure was performed to treat a de novo lesion in the tibioperoneal trunk (tpt) with 80% stenosis and heavy calcification; and popliteal and also a small area in the superficial femoral artery (sfa).Two (2) 3.0x38mm esprit btk stent were implanted to treat the tpt and intravascular lithotripsy (ivl) 3.0x 80 was used to treat the popliteal and the superficial femoral artery (sfa).A few hours later, the patient lost pulse.Re-angiography was performed and the popliteal and tpt scaffolds were clotted off.A non-abbott thrombectomy balloon system was used to get the popliteal and scaffold open.Additionally, medication (tissue plasminogen activator) was administered.A dissection in the popliteal was observed which was treated with a non-abbott covered stent.In the physician's opinion, the 2 esprit btk stents did not cause or contribute to the dissection.Post-dilatation was performed with a non-abbott 3.0x120mm balloon.Result was decent.No additional information was provided.
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The device was not returned for analysis.Production record and corrective and preventative actions (capa) reviews were performed and revealed no indication of a product quality issue.Additionally, a query of the complaint handling database for the reported lot revealed there is no indication of a lot specific issue.The reported patient effect(s) of thrombosis is listed in the esprit btk everolimus eluting resorbable scaffold system over-the-wire (otw) instructions for use as a known patient effect(s) of scaffolding procedures.A conclusive cause for the reported patient effect(s), and the relationship to the product, if any, cannot be determined; however, the subsequent treatment appears to be related to the operational context of the procedure.There is no indication of a product quality issue with respect to manufacture, design or labeling¿ therefore, no product-related corrective action will be implemented in this case.The additional device referenced in b5 is filed under separate medwatch report number.C3: 1 per year was entered; however, the frequency is 1 dose per implant.
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