Subclavian Arterial Bleeding during Permanent Pacemaker Implantation: Clinical Case Report and Literature Review  

作　　者：Si Dung Chu Giang Song Tran Minh Thi Tran Thu Kim Thi Tran Si Dung Chu;Giang Song Tran;Minh Thi Tran;Thu Kim Thi Tran(Vietnam National Heart Institute, Bach Mai Hospital, Hanoi, Vietnam;Training and Direction of Healthcare Activities Center, Bach Mai Hospital, Hanoi, Vietnam;Department of Internal Medicine, Vietnam University of Traditional Medicine, Hanoi, Vietnam)

机构地区：[1]Vietnam National Heart Institute, Bach Mai Hospital, Hanoi, Vietnam [2]Training and Direction of Healthcare Activities Center, Bach Mai Hospital, Hanoi, Vietnam [3]Department of Internal Medicine, Vietnam University of Traditional Medicine, Hanoi, Vietnam

出　　处：《Open Journal of Emergency Medicine》2023年第4期180-185,共6页急诊医学（英文）

摘　　要：Research objective: To study a clinical case that had a complication of subclavian artery bleeding during permanent pacemaker implantation process. Subject and Method: Clinical case report and literature review. Study of a patient had an indication for permanent pacemaker implantation who had complication of subclavian artery bleeding during the procedure. Result: An 84-year-old female patient was admitted to the hospital because of fainting spells with chest pain, on the background of dangerous complex arrhythmias and ischemic heart disease, and was prescribed a pacemaker for this patient. The patient had complication occurred during the procedure, which left subclavian artery bleeding was detected and treated promptly, a cardiac pacemaker was implanted on the right side of the chest, and the patient had a successful endovascular stent cover in the left subclavian artery. Conclude: Subclavian artery bleeding is a rare complication in the procedure of permanent pacemaker implantation, but it can still occur and requires quick detection and timely treatment, needs to be successful in cardiac pacemaker placement and subclavian artery drug-eluting stent cover placement intervention. Individualized patient risk assessment is needed;appropriate and standardized intervention techniques and experience can reduce the occurrence of this variable.Research objective: To study a clinical case that had a complication of subclavian artery bleeding during permanent pacemaker implantation process. Subject and Method: Clinical case report and literature review. Study of a patient had an indication for permanent pacemaker implantation who had complication of subclavian artery bleeding during the procedure. Result: An 84-year-old female patient was admitted to the hospital because of fainting spells with chest pain, on the background of dangerous complex arrhythmias and ischemic heart disease, and was prescribed a pacemaker for this patient. The patient had complication occurred during the procedure, which left subclavian artery bleeding was detected and treated promptly, a cardiac pacemaker was implanted on the right side of the chest, and the patient had a successful endovascular stent cover in the left subclavian artery. Conclude: Subclavian artery bleeding is a rare complication in the procedure of permanent pacemaker implantation, but it can still occur and requires quick detection and timely treatment, needs to be successful in cardiac pacemaker placement and subclavian artery drug-eluting stent cover placement intervention. Individualized patient risk assessment is needed;appropriate and standardized intervention techniques and experience can reduce the occurrence of this variable.

关 键 词：COMPLICATION Subclavian Artery Bleeding Permanent Pacemaker Implantation 

分 类 号：R57[医药卫生—消化系统]