A lead extraction procedure commenced to remove a right atrial (ra) and a right ventricular (rv) lead due to infection.Spectranetics lead locking devices (llds) were inserted into each lead to provide the traction platform to aid in extraction.After successfully removing the ra lead, the physician attempted to remove the rv lead.After beginning with a spectranetics 16f glidelight laser sheath, the physician switched to a spectranetics 13f tightrail rotating dilator sheath due to stalled progress with use of the glidelight device.After making small progress with the 13f tightrail device, the physician decided to go back to the 16f glidelight device and add a spectranetics visisheath dilator sheath.The physician made some progress, but the ct surgeon recommended that the procedure be stopped.At that time the glidelight and visisheath devices were removed and the physician decided to cut the portion of the rv lead that was extending outside of the pocket.The lld remained within this rv lead; the physician attempted to unlock the device prior to capping but was unsuccessful.The pocket was then closed.This report is being submitted to capture the lld which was present in the rv lead and was cut, capped and remained in the patient.There was no reported patient harm.
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