Temporary pacemaker protected transjugular intrahepatic portosystemic shunt in a patient with acute variceal bleeding and bradyarrhythmia: A case report

doi:10.12998/wjcc.v9.i30.9192

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World Journal of Clinical Cases

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Case Report

World J Clin Cases. Oct 26, 2021; 9(30): 9192-9197
Published online Oct 26, 2021. doi: 10.12998/wjcc.v9.i30.9192

Temporary pacemaker protected transjugular intrahepatic portosystemic shunt in a patient with acute variceal bleeding and bradyarrhythmia: A case report

Xin Yao, Shi-Hui Li, Li-Rong Fu, Shan-Hong Tang, Jian-Ping Qin

Xin Yao, Shi-Hui Li, Li-Rong Fu, Shan-Hong Tang, Jian-Ping Qin, Department of Gastroenterology, General Hospital of Western Theater Command, Chengdu 610083, Sichuan Province, China

Author contributions: Yao X performed the operation and wrote the paper; Li SH and Fu LR collected the data; Tang SH collected the data; Qin JP participated in and guided the operation, conceptualized the idea, and finalized the manuscript.

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 declare that they have no conflict of interests to report.

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: Jian-Ping Qin, MD, Chief Doctor, Doctor, Department of Gastroenterology, General Hospital of Western Theater Command, No. 270 Rongdu Road, Chengdu 610083, Sichuan Province, China. jpqqing@163.com

Received: April 19, 2021
Peer-review started: April 19, 2021
First decision: July 15, 2021
Revised: July 15, 2021
Accepted: September 6, 2021
Article in press: September 6, 2021
Published online: October 26, 2021
Processing time: 185 Days and 6.5 Hours

Core Tip

Core Tip: Transjugular intrahepatic portosystemic shunt (TIPS) has been applied extensively in the treatment of cirrhotic patients presenting with portal hypertension; however, treating cirrhotic patients with bradyarrhythmia presents a great challenge due to the possibility of serious cardiac complications. In our case report, a 64-year-old male patient who was confirmed with bradyarrhythmia by ambulatory electrocardiogram 24 h before the operation was successfully treated by TIPS under temporary pacemaker protection.