Hospital procedure notes dated (b)(6) 2014 note that during generator and lead replacement surgery (mfr.Report # 1644487-2014-03136), during dissection of the electrodes from the patient's vagus nerve the surgeon experienced brisk venous bleeding from the jugular vein.The surgeon identified a small hole in the vein and controlled the bleeding with direct pressure and then closed the hole with a 5-0 prolen interrupted suture.The surgeon then placed surgicel over this.It was noted that the patient tolerated the procedure well and was transferred to pacu in stable condition.The physician assistant indicated that the bleeding is a known complication when removing old lead and that the risk was discussed prior to surgery.It was reported that the vns caused this in the fact of it's presence and the leads scared down to the surrounding anatomy.
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