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Hemoptysis complicating AICD patch placement controlled by temporary selective bronchial balloon occlusion.
N Kao1, R N Messersmith, J Klich
1Department of Medicine, Lutheran General Hospital, Park Ridge, Chicago.
Chest
|May 1, 1991
Summary
This case report details a rare complication of hemoptysis following automatic implantable cardioverter-defibrillator patch placement. Massive bleeding was successfully managed using bronchus balloon occlusion, a novel approach for this specific scenario.
Area of Science:
- Cardiology
- Interventional Pulmonology
- Medical Device Complications
Background:
- Automatic implantable cardioverter-defibrillators (AICDs) are crucial for managing life-threatening arrhythmias.
- Patch placement is a common procedure, but complications are rare.
- Hemoptysis is an uncommon but serious potential complication.
Observation:
- A patient developed massive hemoptysis after AICD patch placement.
- This represents the first reported instance of this specific complication.
- The bleeding originated from the bronchial circulation.
Findings:
- Massive hemoptysis was effectively managed using a balloon occlusion catheter.
- The catheter was inserted into the segmental bronchus via the endotracheal tube.
- Fluoroscopic guidance was essential for accurate catheter placement and occlusion.
Implications:
- This case highlights a rare but significant complication of AICD patch placement.
- Bronchial artery balloon occlusion is a viable and effective treatment for massive hemoptysis in this context.
- This management strategy may be applicable to similar cases of severe hemoptysis post-cardiac device procedures.