Key result
Transcatheter arterial embolization successfully managed a life-threatening hemothorax caused by pulmonary artery injury following subclavian vein puncture for pacemaker implantation.
Case Report (n=1)
Transcatheter arterial embolization can be a successful interventional management strategy for life-threatening pulmonary arterial injury secondary to pacemaker implantation.
Rare PA injury from subclavian access may respond to embolization; single case leaves open safety and generalizability.
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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Tokue et al. (2016) conducted a case report in Hemothorax related to pulmonary artery injury secondary to pacemaker implantation (n=1). Transcatheter arterial embolization was evaluated. Transcatheter arterial embolization successfully managed a life-threatening hemothorax caused by pulmonary artery injury following subclavian vein puncture for pacemaker implantation.
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