Peripheral embolisation and retrieval of an everolimus-eluting stent during intervention in a tortuous right coronary artery
Bibliographic record
Abstract
A 78 year-old female with dyslipidemia, diabetes, and hypertension as cardiovascular risk factors underwent percutaneous coronary intervention of tortuous, diffusely diseased right coronary artery (90% stenosis) due to chronic stable angina (Canadian Cardiovascular Society class III) despite guideline-directed medical treatment. After predilatation, a 2.75 × 44 mm Xience Expedition everolimus-eluting stent (Abbott, USA) was tracked, which failed and embolised to the right deep femoral artery during its pullback. It was successfully retrieved by an EN snare: 6–10 mm (Merit Medical, USA) by contralateral femoral approach. Lesion was further dilated and successfully stented using a GuideLiner mother–and-child catheter (Vascular Solutions Inc., USA) by deploying two overlapping 2.75 × 33, and 3 × 23 Xience Expedition drug-eluting stents distally and proximally respectively showing proper stent expansion with TIMI-3 coronary flow.This case highlights trackability issues and the importance of adequate lesion preparation before stent deployment in a tortuous vessel with diffuse disease, especially with a very long stent.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".