Zheng J, Tu XM, Gao ZY. Successful transcatheter arterial embolization treatment for chest wall haematoma following permanent pacemaker implantation: A case report. World J Clin Cases 2022; 10(32): 11877-11881 [PMID: 36405272 DOI: 10.12998/wjcc.v10.i32.11877]
Corresponding Author of This Article
Zhen-Yan Gao, MBBS, Chief Physician, Department of Cardiology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People’s Hospital, No. 100 Minjiang Avenue, Kecheng District, Quzhou 324000, Zhejiang Province, China. gzy1033@126.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 16, 2022; 10(32): 11877-11881 Published online Nov 16, 2022. doi: 10.12998/wjcc.v10.i32.11877
Successful transcatheter arterial embolization treatment for chest wall haematoma following permanent pacemaker implantation: A case report
Jing Zheng, Xiao-Ming Tu, Zhen-Yan Gao
Jing Zheng, Xiao-Ming Tu, Zhen-Yan Gao, Department of Cardiology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People’s Hospital, Quzhou 324000, Zhejiang Province, China
Author contributions: Zheng J, Tu XM and Gao ZY contributed to the conception of the study, participated in clinical management and collecting the data; Zheng J contributed to manuscript writing and editing; Gao ZY performed the analysis with constructive discussions; all authors have read and approved the final manuscript.
Supported byThe Guiding Scientific and Technological Project of Quzhou, China, No. 2019063.
Informed consent statement: Informed written consent was obtained from the patient for publication of this case report and accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhen-Yan Gao, MBBS, Chief Physician, Department of Cardiology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People’s Hospital, No. 100 Minjiang Avenue, Kecheng District, Quzhou 324000, Zhejiang Province, China. gzy1033@126.com
Received: June 10, 2022 Peer-review started: June 10, 2022 First decision: June 27, 2022 Revised: July 8, 2022 Accepted: October 17, 2022 Article in press: October 17, 2022 Published online: November 16, 2022 Processing time: 150 Days and 23.2 Hours
Abstract
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.
Core Tip: Haematoma is one of the main complications of permanent pacemaker implantation. We report a case of patient with permanent pacemaker implantation that presented with a haematoma without the conventional presentation of a pocket haematoma. After further examination, the subclavian artery pseudoaneurysm caused by puncture was found. The haematoma was successfully relieved after transcatheter arterial embolization. This case is a rare clinical condition, and the haematoma occurring in this situation is often not easily detected in clinical practice and cannot be treated in a timely and effective manner. Clinicians are reminded that when haematoma-related manifestations occur after permanent pacemaker implantation, as more possibilities are considered, timely targeted treatment can avoid serious adverse events.
