After probing the tci with a al-1 guide catheter to give better support, two guide wires were placed in the patient, one distally in the ada and the other in the distal acx.Patient was on full heparin.The lesion was pre-dilated with a 2x30 balloon to 18 atms, middle segment stenosis progressed.It was reported that the physician was attempting to advance a resolute integrity drug eluting stent in a mid segment artery during stent delivery the device was inflated to 16atm.When the physician withdrew the stent catheter, it was reported that the stent moved towards the proximal area in the vessel.It was reported that the resolute stent was positioned in a different place than intended.The proximal are of the vessel was pre-dilated and a non-mdt stent was then implanted at 18 atms to overlap and fix the resolute stent in place.On review it was noted that there was irregularities overlapping in this area so post dilatation was carried out with an nc balloon to 17 atms.Review showed a good result (stenosis treated with distal bed diffusely diseased but improved distal flow).
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