It was reported that during a lead extraction procedure to remove 3 leads, the patient blood pressure dropped which required intervention to correct.Reportedly, the first (screwing lead) was removed without incident.The remaining two (tinned) leads were prepped with lld devices.A tightrail device was used to advance down the first lead, but progress stalled.At this point the patient's blood pressure dropped rapidly and the physician attempted to removed the tightrail.However, upon removal of the tightrail, the lld device also withdrew from the lead, and was noted to be "completely distorted".After administration of nor-epinephrine and the release of traction, the blood pressure corrected and the procedure continued.
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