Successful transcatheter arterial embolization treatment for chest wall haematoma following permanent pacemaker implantation: A case report.

World J Clin Cases

Department of Cardiology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou 324000, Zhejiang Province, China.

Published: November 2022

Background: Haematoma is one of the main complications associated with pacemaker implantation. Pseudoaneurysm is a rare condition that is not easy to identify and is often overlooked.

Case Summary: A female patient diagnosed with high-grade atrioventricular block underwent permanent pacemaker implantation. During the operation, puncturing a small branch of the right subclavian artery developed into a pseudoaneurysm and resulted in further haematoma formation. Conventional treatment of compression haemostasis and haemostatic drugs was not effective. A series of timely transcatheter arterial embolizations avoided serious complications.

Conclusion: More possible conditions should be taken into consideration as haematoma is discovered, and timely treatment might prevent severe adverse events.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9669860PMC
http://dx.doi.org/10.12998/wjcc.v10.i32.11877DOI Listing

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