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A lead extraction procedure commenced to remove a right atrial (ra), right ventricular (rv), and left ventricular (lv) lead due to bacteremia.Spectranetics lld ez lead locking devices (lld ezs) were inserted into each lead to provide traction.Beginning with a spectranetics 14f glidelight laser sheath, along with a spectranetics visisheath dilator sheath, advancement was made through the subclavian down past the ra.With traction from the lld ez, the lv lead was extracted; however, a pericardial effusion was detected.Rescue efforts began, including bypass, pericardial window, and sternotomy.A perforation to the coronary sinus (cs) was discovered and repaired (mdr #3007284006-2026-00431).The decision was made to abandon the extraction; therefore, the lld ezs, along with the ra and rv lead, were cut and capped and remained in the patient (mdr #3007284006-2026-00432).There was no attempt made to unlock the lld ezs.The patient survived the procedure.This report captures the lld ez within the ra lead, which was cut/capped and remained in the patient.There was no alleged malfunction of any spectranetics devices in use during the procedure.
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A3b) patient gender - not available from facility.H3) a portion of the device was discarded, and a portion remained within the lead within the patient.H6) lld cut/cap is a known risk of complication with use of the lld.Although lld cut/cap is a known risk of complication with use of the lld, the physician did not attempt to unlock the lld ez from the lead prior to cutting and capping.Submission of this report does not, in itself, represent a conclusion by the manufacturer and/or authorized representative or the national competent authority that the content of this report is complete or accurate, that the medical device(s) listed failed in any manner and/or that the medical device(s) caused or contributed to an alleged death or deterioration in the state of the health of any person.
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