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It was reported on (b)(6) 2026, a 30-25mm amplatzer talisman pfo occluder was chosen for an implant.During the patent foramen ovale (pfo) closure procedure, there was no reported difficulty implanting the device itself; however, the physician experienced difficulty crossing the pfo defect.To facilitate crossing, an sl1 sheath was used to support a guidewire.Multiple wire and delivery sheath exchanges were performed during attempts to cross the pfo defect.The physician successfully crossed the pfo without any signs of issues.During the procedure, heparin was administered; however, the amount was unknown.The valve was not re-sheathed more than two times.The 25 mm amplatzer talisman pfo occluder was subsequently delivered and released.Following device release, all delivery sheaths and wires were removed from the patient, and the venous access site was closed.While the patient was being transferred to a transport bed, the patient was noted to be unresponsive to nursing staff and was found to have a blood pressure of approximately 60/25 mmhg.The patient was returned to the catheterization laboratory table, where a circumferential pericardial effusion was identified.A pericardiocentesis was performed and approximately 1 liter of fluid was drained.The physician did not believe the pericardial effusion was related to the abbott device and believed it was caused by catheter maneuvers performed during the procedure.The patient remained hospitalized overnight for observation.The patient was reported to be doing well and was expected to be discharged home.
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