Key result
Coil embolization successfully addressed bleeding from the thoracoacromial artery in a patient with a pacemaker pocket pseudoaneurysm.
Why the study?
Pacemaker pocket pseudoaneurysm is a rare complication after pacemaker implantation that often does not respond to conservative treatments.
Case Report (n=1)
Arterial injury should be considered in cases of persistent hematoma after pacemaker implantation, and early imaging with embolization is an effective management strategy.
May warrant angiography for refractory pacemaker pocket pseudoaneurysm; case reports leave optimal strategies open.
BACKGROUND: Pacemaker pocket pseudoaneurysm is a rare complications after pacemaker implantation and often do not respond to conservative treatments. CASE PRESENTATION: We present a case of a 93-year-old man who developed pocket swelling and a significant hemoglobin decrease one week after pacemaker implantation. Conservative management, including compression and blood transfusion, proved ineffective. Angiography identified bleeding from the thoracoacromial artery, which was successfully addressed with coil embolization. The patient exhibited a favorable recovery during follow-up. CONCLUSION: Arterial injury should be considered in cases of persistent hematoma after pacemaker implantation. Early imaging and embolization are crucial for effective management.
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Ding et al. (2025) conducted a case report in Pacemaker pocket pseudoaneurysm (n=1). Coil embolization was evaluated on Bleeding control and recovery. Coil embolization successfully addressed bleeding from the thoracoacromial artery in a patient with a pacemaker pocket pseudoaneurysm.
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