It was reported that during a lead extraction procedure to remove two 15 year old leads, a tear to the rv apex occurred.Reportedly, the patient presented with a pocket infection and erosion of the device.The first lead (cs lead) was successfully removed with the use of a glidelight and a tightrail device.When attempting to remove the rv icd lead, the laser was used but never entered the heart.When the physician pulled on the lld device (being used for traction) and the lead, it came free with a large portion of heart tissue.Blood pressure dropped at this point, a sternotomy was performed, and the patient was placed on bypass.However, the patient did not survive this intervention.
|