This was a left-sided lead extraction procedure to remove two non-functional leads.The rv lead (mdt 5076 pacing, implanted 69 months) was removed using an lld-ez and an 11f tightrail.The ra lead was prepped with an lld-ez and the 11f tightrail was used to extract, however, the helix of the ra lead did not retract.Once the physician was near the lead tip with the tightrail, the lead did not come free easily.Once it pulled free from the myocardium, the patient¿s blood pressure declined and the cts opened the chest.The injury occurred as the ra lead tip came free from the myocardium.Because the lld-ez was the traction platform being used to pull the lead free from the myocardium, this event is being attributed to the lld as the suspect device.
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