|
It was reported this was a venotomy closure of the right common femoral vein using the pre-close technique via an 8f sheath hole prior to a pulsed field ablation (pfa) procedure using volt.The suture of a prostyle device was successfully placed.The sheath was upsized to 14f and the pfa procedure was completed.Reportedly, during post close, the knot was advanced but there was still significant oozing at the access site; therefore, a second prostyle device was deployed.The lever was returned to its original position, and the footplate was retracted after the deployment; however, with the device not able to be removed from the access site, it was thought by the physician to have gotten hung up on a valve.The footplate did not retract fully back into device.The prostyle device was twisted, bent and pulled against resistance in a manner to try and release it from the inside of the vessel, resulting in a crack and separation where the metal meets the plastic at the elbow of the device.Once seen on angio, the operating room was immediately notified, and the patient was transferred for surgical cutdown.During the cutdown, the prostyle device was safely removed.Hemostais was achieved via surgical suturing.No additional structural damage was noted on the prostyle device.The patient was transferred to the intensive care unit icu) for 1 day and discharged without any further complications on (b)(6) 2026.There was a reported clinically significant delay in the procedure or therapy.No additional information was provided.
|