This is filed to report the steerable guide catheter air leak.
It was reported that this was a mitraclip procedure performed to treat grade 4+ mixed mitral regurgitation (mr).
The patient has scoliosis and curves in the vena cava.
The steerable guide catheter (sgc) was advanced into the left atrium.
Air was observed in the sgc, the sgc could not be aspirated.
The tip of the sgc was not up against the wall, nothing was blocking the sgc tip.
The sgc was retracted to the inferior vena cava but again the sgc could not be aspirated.
There was no damage observed and no thrombus.
Air did not enter the patient.
The sgc was removed and was replaced.
One clip was implanted, reducing mr to 1-2.
There were no adverse patient effects and no clinically significant delay in the procedure.
The sgc was tested outside of the anatomy, the sgc was flushed without issue.
No additional information was provided.
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