Three leads (2 ra, 1 rv) being removed from patient.An lld was placed in each lead.First ra lead (from 2008) was removed successfully using a 14fr glidelight.Second ra lead (from 1996) removed with use of 14fr glidelight, 16 fr glidelight, and 13fr tightrail.However, during removal of this second ra lead, patient's bp dropped and was successfully treated with medication (no bleeding noted).A 16fr glidelight and 13fr tightrail was used to remove rv lead from 1996.Again patient's bp dropped and was successfully treated with medication (again, no bleeding noted via tee).After case was complete, surgeon was notified that patient's bp had dropped and there was a small amount of blood visible on tee on posterior side of heart.Successful interventions by physician completed and patient survived.
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