Three (3) shock leads needed to be extracted, 2 single coils and 1 dual coil lead.Dwell time of sprint quatro secure 9months, 1 riata.Sprint quatro came out with simple traction.Placed lld ez in both leads and tried to extract using cook dilator first and the tightrail 13f.It was impossible to free the lead until the curve to svc.Finally could free the single coil lead couldn't remove via subclavian.Couldn't free the dual coil because of externalisation of the inner conductors.Tightrail got stuck, but removed safely.Then used the needle's eye snare to extract the single coil from below.1 min after the extraction a sudden drop in bp was noticed with stable hr.Rescue balloon was deployed.Tee didn't show a tear or perforation.Physician decided to make a pulmonary angio, which showed massive emboli.Patient condition deteriorated and resuscitation was started.After 1 hour patient was stabilized but decided to install ecmo.It was reported the patient died (b)(6) 2020.This report reflects information received by fda in the form of a notification per 803.22 (b)(2).
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