Shi F, Zhang Y, Sun LX, Long S. Life-threatening subclavian artery bleeding following percutaneous coronary intervention with stent implantation: A case report and review of literature. World J Clin Cases 2022; 10(6): 1937-1945 [PMID: 35317135 DOI: 10.12998/wjcc.v10.i6.1937]
Corresponding Author of This Article
Ying Zhang, MD, Chief Doctor, Department of Cardiology, The Affiliated Hospital of Chengde Medical University, No. 36 Nanyingzi Street, Shuangqiao District, Chengde 067000, Hebei Province, China. cyfyzy@aliyun.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. Feb 26, 2022; 10(6): 1937-1945 Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.1937
Life-threatening subclavian artery bleeding following percutaneous coronary intervention with stent implantation: A case report and review of literature
Fei Shi, Ying Zhang, Li-Xian Sun, Sen Long
Fei Shi, Ying Zhang, Li-Xian Sun, Department of Cardiology, The Affiliated Hospital of Chengde Medical University, Chengde 067000, Hebei Province, China
Sen Long, Traditional Chinese Medicine, The Affiliated Hospital of Chengde Medical University, Chengde 067000, Hebei Province, China
Author contributions: Shi F managed the case and edited the manuscript; Zhang Y assisted with editing and revising the manuscript; Sun LX and Long S read and approved the final manuscript.
Supported byScientific Research Program of Hebei Administration of Traditional Chinese Medicine, China, No. 2021201; and Science and Technology Support Plan Project of Chengde, China, No. 201701A072.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ying Zhang, MD, Chief Doctor, Department of Cardiology, The Affiliated Hospital of Chengde Medical University, No. 36 Nanyingzi Street, Shuangqiao District, Chengde 067000, Hebei Province, China. cyfyzy@aliyun.com
Received: August 4, 2021 Peer-review started: August 4, 2021 First decision: October 16, 2021 Revised: October 26, 2021 Accepted: January 11, 2022 Article in press: January 11, 2022 Published online: February 26, 2022
Core Tip
Core Tip: Subclavian artery bleeding is a rare and serious complication of transradial percutaneous coronary intervention leading to tracheal obstruction, hemothorax, respiratory failure, hemorrhagic shock, and death if not diagnosed early and treated promptly. Bleeding at the root of the subclavian artery might manifest as pharyngeal pain and cervical hematoma, which requires the prompt decision to perform emergency endotracheal intubation. Computed tomography scans should be performed as early as possible for patients with suspected hematoma. Endovascular treatment with covered stents appears to be less time consuming and more effective, especially for large, life-threatening perforations, with great success rates and immediate control of bleeding.
