During a peripheral atherectomy procedure using a csi orbital atherectomy device (oad), the tip of the guide wire became detached and remained in the patient.
The target lesion was a moderately calcified 90% stenosed lesion located in the superficial femoral artery.
After the lesion was treated, a stent was placed.
During deployment of the stent and removal of the guide wire, the deployment system of the stent jumped forward slightly, the stent prolapsed, and the tip of the guide wire was trapped and broke off behind the stent.
An attempt was made to cross the prolapsed stent to place a covered stent, however, only a wire was able to transverse the prolapsed stent.
The guide wire fragment was unable to be removed and remained in the patient.
Following the procedure, the patient was sent to recovery.
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