It was reported that distal embolization occurred.A 2.4mm jetstream xc catheter was selected for an atherectomy and angioplasty procedure to treat in-stent restenosis of the superficial femoral artery (sfa).During the procedure, the physician noted the jetstream had difficulty tracking over a non-bsc guidewire.It resulted in the jetstream becoming difficult to advance and remove.Additionally, a non-bsc filterwire became displaced from its original position.It was not clear to the physician whether this related to non-bsc guidewire movement issues.The guidewire was ultimately replaced with a thruway guidewire due to a kink.Replacement with a new wire resulted in distal embolization in the below-the-knee vessels.This left the patient with one vessel run off instead of two.The physician tried to remove the distal embolization with the jetstream but otherwise left it.It was felt that running the jetstream over the thruway wire without a filter caused the distal embolization.The case was successfully completed.At no point did the wires bind to the jetstream catheter permanently or require advanced attempts to disconnect the two.However, treatment time was reduced to avoid any more serious issues.The total run-time was 16m48s and at no point did the catheter sit in the one position for an excessive amount of time.The patient status post-procedure was reported as stable.
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