Lead management case to extract 2 cardiac leads.The first lead was successfully extracted using an lld and a 9f tightrail sheath.The second lead was then prepped with an lld and the physician began using a 13f tightrail sheath.During use of this device it was noted that the device handle was stuck and the physician retracted the device, noting that the device tip was not rotating.Another 13f tightrail device was then opened and again the cutting mechanism and handle became stuck.At this time the physician continued the procedure using only traction placed on the lld.A perforation of the svc occurred resulting in patient death.This is to reflect on the lld as it was the traction platform in which to extract the lead.
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