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Successful Interventional Management for Pulmonary Arterial Injury Secondary to Pacemaker Implantation
Hiroyuki Tokue1, Azusa Tokue1, Hideo Morita1
1Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, Japan; Department of Radiology, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan.
Abstract:
Subclavian vein puncture is a relatively fast and safe technique to access the right heart for placement of pacemaker leads. Hemothorax related to injury of the pulmonary artery (PA) is a rare complication of subclavian vein access but can be life-threatening. We report a case of hemothorax occurring after subclavian vein puncture for pacemaker implantation. No cases of transcatheter arterial embolization for PA injury secondary to pacemaker implantation have been reported. Understanding of this rare complication after pacemaker implantation along with its specific clinical presentation may lead to early diagnosis and intervention.
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