Hemoptysis After Subclavian Vein Puncture for Pacemaker Implantation A Rare Case Report

Introduction: Subclavian vein puncture is a common procedure for pacemaker lead insertion, generally considered safe in expert hands. However, complications like alveolar hemorrhage and hemoptysis, although rare, can occur. This case report discusses a patient who developed hemoptysis post-subclavian vein puncture, managed successfully with conservative treatment. Visit https://www.cardiologymedjournal.com/jccm for more groundbreaking research in this field.

Case Summary:

• A 65-year-old male patient underwent aortic valve replacement.
• Developed a high-grade AV block post-procedure, necessitating dual-chamber pacemaker implantation.
• Experienced immediate hemoptysis following subclavian vein puncture.
• Chest X-ray showed alveolar hemorrhage, which resolved conservatively.

Clinical Discussion: Hemoptysis after subclavian vein puncture is often attributed to lung parenchymal injury or arterial puncture. The American College of Cardiology (ACC) highlights the importance of procedural safety in cardiovascular interventions, emphasizing the need for meticulous technique and careful patient selection.

Prevention Strategies:

• Use of ultrasonographic guidance for venous access.
• Alternative venous access techniques, such as axillary vein puncture.
• Careful consideration of anticoagulation status before the procedure.

Full Study Access: Read the full case report at https://doi.org/10.29328/journal.jccm.1001065.

Key Takeaways:

• Hemoptysis is a rare but manageable complication of subclavian vein puncture.
• Conservative management is effective in mild cases.
• Preventive measures like guided venepuncture can reduce risks.

Further Reading & Related Studies: Explore related research on cardiovascular interventions and procedural safety at https://www.cardiologymedjournal.com/jccm.

Call-to-Action: For more case studies and research insights, visit https://www.cardiologymedjournal.com/jccm and join the conversation by sharing your thoughts in the comments below!

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