{"title":"Thoracoacromial Artery Injury Causing Pacemaker Pocket Pseudoaneurysm: A Case Report.","authors":"Di Ding, Xusen Sun, Wei Wang, Zheng Zhang","doi":"10.1111/pace.15198","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Pacemaker pocket pseudoaneurysm is a rare complications after pacemaker implantation and often do not respond to conservative treatments.</p><p><strong>Case presentation: </strong>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.</p><p><strong>Conclusion: </strong>Arterial injury should be considered in cases of persistent hematoma after pacemaker implantation. Early imaging and embolization are crucial for effective management.</p>","PeriodicalId":54653,"journal":{"name":"Pace-Pacing and Clinical Electrophysiology","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pace-Pacing and Clinical Electrophysiology","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1111/pace.15198","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
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.
期刊介绍：
Pacing and Clinical Electrophysiology (PACE) is the foremost peer-reviewed journal in the field of pacing and implantable cardioversion defibrillation, publishing over 50% of all English language articles in its field, featuring original, review, and didactic papers, and case reports related to daily practice. Articles also include editorials, book reviews, Musings on humane topics relevant to medical practice, electrophysiology (EP) rounds, device rounds, and information concerning the quality of devices used in the practice of the specialty.
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