Exposed Hematoma After Pacemaker Generator Change.
Takahiro Hayashi1, Koki Shishido1, Kazuki Tobita1
1Department of Cardiology, Shonan Kamakura General Hospital, Kamakura, Japan.
JACC. Case Reports
|September 2, 2021
Summary
Pacemaker generator replacement in frail patients on direct oral anticoagulants can lead to hematoma. Pre-procedure cessation of these anticoagulants is recommended for frail individuals to mitigate bleeding risks.
Area of Science:
- Cardiology
- Medical Device Technology
- Geriatric Medicine
Background:
- Pacemaker generator changes are common procedures.
- Direct oral anticoagulants (DOACs) are increasingly used for anticoagulation.
- Frail patients present unique challenges in managing anticoagulation therapy peri-procedurally.
Purpose of the Study:
- To highlight the risk of hematoma formation after pacemaker generator change in a frail patient on DOACs.
- To emphasize the importance of considering anticoagulation management in frail populations.
Main Methods:
- A case report of a frail woman undergoing pacemaker generator change.
- The patient was on a direct oral anticoagulant.
- Post-procedure monitoring for complications.
Main Results:
- A significant hematoma developed after the pacemaker generator change.
- This complication occurred in the context of ongoing direct oral anticoagulant therapy.
Conclusions:
- Direct oral anticoagulant therapy cessation should be carefully considered before elective pacemaker generator changes in frail patients.
- This approach may help prevent procedural bleeding complications like hematoma.
