Medtronic received information that during the implant of a transcatheter bioprosthetic valve, a pericardial effusion was observed as a result of a perforation resulting from use of a boston scientific amplatz superstiff guidewire.The valve was deployed immediately and pericardiocentesis was performed to aspirate fluid from the pericardium.However, the patient's blood pressure could not be controlled, and the pericardial effusion resulted in cardiac tamponade.A mini-thoracotomy was performed to repair the small hole in the apex caused by the guidewire perforation.Intubation was weaned next day and the patient was reported in stable condition.(b)(4).This report reflects information received by fda in the form of a notification per 803.22 (b)(2).
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