A lead extracture commenced (b)(6) 2019 to remove a right ventricular (rv) lead due to lead failure.Spectranetics glidelight laser sheaths (14f and 16f), glidelight outer sheath and lead locking device (lld) were in use.During the procedure, the rv lead broke.They attempted to extract the tip of this lead using a snare, but were unsuccessful.The lld was removed from the rv lead and the lead was capped.On (b)(6) 2019, the patient's blood pressure dropped suddenly, and cardiac tamponade was detected.A pericardiocentesis was performed which drained 350cc and the patient became stable.No further effusion was seen at that time.On (b)(6) 2019, the team was concerned that the tricuspid valve had been damaged so the team decided to extract the rv lead surgically.A sternotomy was scheduled and performed on (b)(6) 2019.There was no injury to the right atrium nor the right ventricle of the heart.The physician attempted to remove the rv lead, but the lead tip was so deep within the rv that the physician cut the lead in front of the rv tip and the tip remained in the patient.The patient's tricuspid valve was repaired successfully.It was noted that the lead had severe adhesion with the tricuspid valve, and when the rv lead broke during the initial procedure, the team did not commence lasing with the glidelight device.There was no alleged malfunction of any spectranetics devices during the procedure.
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