This case shows that if cough and hemoptysis suddenlydevelop during subclavian puncture, injury of the adjoining lung because of parenchymal puncture should be considered asa complication.
📌 3 Key Takeaways
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Objective & Hypothesis:We present a rare and interesting case of subclavian vein puncture-induced focal intraparenchymal lung hemorrhage andmassive hemoptysis developed during CRT-D implantation.
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Key Findings & Data:Clinical picture advanced to pulmonary edema in seconds.
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Conclusion & Impact:This case shows that if cough and hemoptysis suddenlydevelop during subclavian puncture, injury of the adjoining lung because of parenchymal puncture should be considered asa complication.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Abstract
We present a rare and interesting case of subclavian vein puncture-induced focal intraparenchymal lung hemorrhage andmassive hemoptysis developed during CRT-D implantation. Clinical picture advanced to pulmonary edema in seconds. Anoncontrast multiple-detector computed tomography scan revealed focal alveolar hemorrhage in the lung tissue right underthe pacemaker pocket, but remarkably, there was no pneumothorax. This case shows that if cough and hemoptysis suddenlydevelop during subclavian puncture, injury of the adjoining lung because of parenchymal puncture should be considered asa complication.
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Cite This Article
YELGEÇ, N. S., TÜRKKAN, C., ÖSKEN, A., ALPER, A. T. (2022). Subclavian vein puncture-induced massive pulmonary hemorrhage and hemoptysis during pacemaker implantation. İstanbul Kuzey Klinikleri, Cilt: 5 - Sayı: 3, 254–255. https://ajindex.com/articles/551504
Littleford PO, Parsonnet V, Spector SD. Method for the rapid and atraumatic insertion of permanent endocardial pacemaker electrodes through the subclavian vein. Am J Cardiol 1979;43:980–2
Kossaify A, Nicolas N, Edde P. Hemoptysis after subclavian vein puncture for pacemaker implantation: importance of wire-guided venous puncture. Clin Med Insights Case Rep 2012;5:119–22
Goldberg A, Rosenfeld I, Marmor A. Hemoptysis-a rare complication of pacemaker implantation. Indian Pacing Electrophysiol J 2008;8:75– 6.