FDA Adverse Event Injury Summary report: N

SYNERGY MEGATRON

MDR report key: 21403838 · Received February 18, 2025

Report

Report Number
2124215-2025-09512
Event Type
Injury
Date Received
February 18, 2025
Date of Event
February 14, 2025
Report Date
March 17, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
NIQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT A DISSECTION OCCURRED. THE TARGET LESION WAS LOCATED IN THE LEFT MAIN CORONARY ARTERY, EXTENDING INTO THE MIDDLE LEFT ANTERIOR DESCENDING ARTERY. A 3.50 X 24MM SYNERGY MEGATRON STENT WAS ADVANCED AND DEPLOYED. HOWEVER, POST-DEPLOYMENT, A FLOW-LIMITING, TYPE B DISSECTION AT THE DISTAL EDGE OF THE STENT WAS OBSERVED. THE PATIENT EXPERIENCED SLOW FLOW AND CHANGES IN ELECTROCARDIOGRAM (ECG). A 3.50 X 12 MM DRUG-ELUTING STENT (DES) WAS DEPLOYED TO COVER THE DISSECTION. NO FURTHER COMPLICATIONS WERE REPORTED AND THE PATIENT REMAINED STABLE AND FULLY RECOVERED. IT WAS FURTHER REPORTED THAT THE 80% STENOSED TARGET LESION WAS LOCATED IN THE MILDLY TORTUOUS AND NON-CALCIFIED SEGMENT OF THE MIDDLE LEFT ANTERIOR DESCENDING ARTERY. A 3.25 X 10 MM NON-COMPLIANT BALLOON WAS USED TO PRE-DILATE THE LESION.

Description of Event or Problem · 0

IT WAS REPORTED THAT A DISSECTION OCCURRED. THE TARGET LESION WAS LOCATED IN THE LEFT MAIN CORONARY ARTERY, EXTENDING INTO THE MIDDLE LEFT ANTERIOR DESCENDING ARTERY. A 3.50 X 24MM SYNERGY MEGATRON STENT WAS ADVANCED AND DEPLOYED. HOWEVER, POST-DEPLOYMENT, A FLOW-LIMITING, TYPE B DISSECTION AT THE DISTAL EDGE OF THE STENT WAS OBSERVED. THE PATIENT EXPERIENCED SLOW FLOW AND CHANGES IN ELECTROCARDIOGRAM (ECG). A 3.50 X 12 MM DRUG-ELUTING STENT (DES) WAS DEPLOYED TO COVER THE DISSECTION. NO FURTHER COMPLICATIONS WERE REPORTED AND THE PATIENT REMAINED STABLE AND FULLY RECOVERED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2571880 SYNERGY MEGATRON CORONARY DRUG-ELUTING STENT NIQ BOSTON SCIENTIFIC CORPORATION 0032936600

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention