It was reported a hemostasis valve leak occurred.A left atrial appendage (laa) closure procedure was being performed.A watchman access system was prepared and flushed successfully.The transseptal puncture was performed and the guide wire was in position.The access system was inserted and the dilator and guide wire were removed.However, the hemostasis valve on the access system was unable to close and blood was leaking out of it.They attempted to unscrew and close the valve three times, but were unsuccessful.They exchanged the access system for a new one which was used to successfully complete the procedure.There were no patient complications and the patient's condition is stable.
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