It was reported that during a lead extraction procedure to remove 2 cardiac leads (rv, ra), an injury occurred.Both leads were prepped with lld devices.Extraction began with the rv lead using a glidelight laser sheath, and binding was experienced on the superior vena cava (svc) coil in the innominate vein.Efforts were then switched to the ra lead to create space.Smooth progress was made halfway down the atrial lead until it came loose with the use of traction force.Blood pressure then dropped and the patient was prepped for surgical intervention.A sternotomy was promptly performed and a 5cm posterior svc tear was identified.The injury could not be repaired and the patient did not survive.
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