CAG- mLAD95%, Ostial-proxdiagonal (long segment) 99%,distal LAD critical disease
RCA and LCX normal

Initialplan was to do a LAD-D1 bifurcation by TAP
RRA, EBU 3.0/6f, Runthrough NS in LAD, Whisper ES in D1, To secure diagonal, D1was first dilated with 2.0*10mmSC balloon @6atmNightmarestarts now.
While pulling and positioning the D1 stent, shaft of stent broke from soft partof the balloon within the guide catheter. Stent was lying hanging uninflated inthe D1.Whatnext???•       Snare the broken stent,•       Balloon trap and remove the wholeassembly•        twisting of wires•        crushing the stent was out of question assofter part was still there inside•       Immediately, LAD balloon of 3.5mmtaken back into the guide, dilated @4atm and whole assembly was pulled out•       Unfortunately the uninflated D1stent got stuck within LAD stent struts while the balloon with a bit of softpart and the wire came out.both LAD&D1 maintaineddiagonaluninflated. Flow in both LAD &D1 maintainedBut noteven the smallest of balloon could cross the LAD. That proves that LAD wire wasbehind the struts.
So, now the plan was to dilate the diagonal stent struts.D1 stentwas dilated first with 1.5*10mm NC balloon f/b 2.0*10mm f/b 2.5*10mm NC balloon@26atmFKBI with2.5*10mm NC  in D1 and 3.5*10mm NC in LAD@12atmFinal POTTdone with 3.75*10mm NC @ 14atm result withTIMI 3 flow and adequately expanded stents. Patient hemodynamically stable andangina free

The incidence of stent dislodgement ranges from0.3-8%                      Dislodgement of stent can be secondary toExtreme coronary angulationHighly calcific coronary arteryInadequate bed preparationDirect stentingInterference by previously deployed stentbreakage of stent shaft If stent retrieval is not possible, a new stentcan be taken and previous stent crushed by it against the vascular wall,thereby preventing migration.Pt was hemodynamically stable , so it gave ustime to intervene by recrossing wires and performing modified reverse cullotte