Description of Event or Problem · 0
INITIAL INTERVENTION: BALLOON ANGIOPLASTY WAS PERFORMED USING A 3 X 40 MM PTA BALLOON, WHICH IMPROVED THE VASCULAR CONDITION. COMPLICATION: EMBOLIC MATERIAL WAS SUBSEQUENTLY FOUND IN THE LATERAL PLANTAR PTA BRANCH OF THE FOOT. FIRST ATTEMPT: A CAT RX PENUMBRA THROMBECTOMY DEVICE WAS USED FOR PERCUTANEOUS MECHANICAL THROMBECTOMY. THE CATHETER BROKE OUTSIDE THE PATIENT AND SHEATH, ALLOWING EASY REMOVAL. SECOND ATTEMPT: A NEW CAT RX DEVICE WAS DEPLOYED. UPON REMOVAL, THIS CATHETER ALSO BROKE, WITH THE PROXIMAL END REMAINING INSIDE THE SHEATH. ESCALATION: AFTER REMOVING THE SHEATH, THE CATHETER'S PROXIMAL END WAS FOUND IN THE LEFT EXTERNAL ILIAC ARTERY. RETRIEVAL EFFORTS: A SHORT 7 FRENCH SHEATH WAS PLACED IN THE LEFT GROIN. MULTIPLE SNARE DEVICES (MICRO SNARE AND 3-LOBE SNARE) WERE USED UNSUCCESSFULLY. RESOLUTION: A PERCUTANEOUS CUTDOWN OF THE RIGHT COMMON FEMORAL ARTERY WAS PERFORMED TO PHYSICALLY RETRIEVE THE BROKEN CATHETER. REFERENCE REPORT MW5177101.