FDA Adverse Event Death Summary report: N

TAXUS EXPRESS2 PACLITAXEL DRUG ELUTING STENT

MDR report key: 729023 · Received June 22, 2006

Report

Report Number
6000089-2006-01245
Event Type
Death
Date Received
June 22, 2006
Date of Event
March 1, 2005
Report Date
May 31, 2006
Manufacturer
BOSTON SCIENTIFIC CORP.
Product Code
NIQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE COMPLAINTANT INDICATED THAT THE DEVICE WILL NOT BE RETURNED FOR EVAL; THEREFORE, A FAILURE ANALYSIS IS NOT AVAILABLE, AND WE ARE NOT ABLE TO DETERMINE THE ROOT CAUSE OF THIS EVENT.

Description of Event or Problem · 1

CLINICAL STUDY. SAME CASE AS 6000089-2006-01246, 01247, 01248, 01249. 431 DAYS AFTER A CORONARY ARTERY DRUG-ELUTING STENTING TREATMENT PROCEDURE THE PT EXPIRED. THE INDEX PROCEDURE TREATED 5 DE NOVO TARGET LESIONS. TARGET LESION 1 (15MM LONG) WAS IDENTIFIED IN THE 3RD OB. MARG. (CASS SITE 22) WITH A 95% STENOSIS (PER CATH NOTE) (CRF STATES 80% STENOSIS) AND A 2.5MM REFERENCE VESSEL DIAMETER. TARGET LESION 1 WAS TREATED WITH PRE-DILATATION AND PLACEMENT OF A 2.5 X 20 MM TAXUS STENT. RESIDUAL STENOSIS WAS 0%. TARGET LESION 2 (10 MM LONG) WAS IDENTIFIED IN THE DIST. CX (CASS SITE 19) WITH 80% STENOSIS AND A 2.7 MM REFERENCE VESSEL DIAMETER. TARGET LESION 2 WAS TREATED WITH DIRECT STENT PLACEMENT USIGN A 2.5 X 16 MM TAXUS STENT. RESIDUAL STENOSIS WAS 0%. TARGET LESION 3 (15 MM LONG) WAS IDENTIFIED IN THE PROX CX (CASS SITE 18) WITH 90% STENOSIS AND A 3.0 MM REFERENCE VESSEL DIAMETER. TARGET LESION 3 WAS TREATED WITH PRE-DILATATION AND PLACEMENT OF A 3.0 X 12 MM TAXUS STENT. RESIDUAL STENOSIS WAS 0%. TARGET LESION 4 (15 MM LONG) WAS IDENTIFIED IN THE 1ST OB MARG (CASS SITE 20) WITH 60% STENOSIS AND A 2.5 MM REFERENCE VESSEL DIAMETER. TARGET LESION 4 WAS TREATED WITH DIRECT STENT PLACEMENT USING A 2.5 A 16 MM TAXUS STENT. RESIDUAL STENOSIS WAS 0%. TARGET LESION 5 (10 MM LONG) WAS IDENTIFIED IN THE PROX LAD (CASS SITE 12) WITH 90% STENOSIS AND A 3.0 MM REFERENCE VESSEL DIAMETER. TARGET LESION 5 WAS TREATED WITH PRE-DILATATION AND PLACEMENT OF A 3.0 X 16 MM TAXUS STENT. RESIDUAL STENOSIS WAS 0%. FOLLOWING THE PROCEDURE, THE PT'S CARDIAC ENZYMES MET GUIDELINE CRITERIA FOR AN MI. CARDIAC ENZYMES SHOWED CPK AT 477 AND CPK-MB AT 202. NO ACTION WAS TAKEN. THE PHYSICIAN INDICATED THE MI WAS PROBABLY RELATED TO THE TAXUS STENT AND THE TARGET VESSEL. THE PT WAS DISCHARGED 2 DAYS LATER ON ASA AND PLAVIX. THE PT EXPIRED 431 DAYS AFTER THE INDEX PRPCEDURE. THE PT WAS UNDERGOING A PROCEDURE AND HAD A CARDIAC ARREST. "THERE WAS NO INFO PROVIDED ON THE PROCEDURE THAT THE PT WAS HAVING WHEN CARDIAC ARREST OCCURRED." NO AUTOPSY WAS PERFORMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TAXUS EXPRESS2 PACLITAXEL DRUG ELUTING STENT DRUG ELUTING STENT NIQ BOSTON SCIENTIFIC CORP. 3.0X16MM 6070141

Patients

Seq Age Sex Outcome Treatment
1 77 YR Death