Case Report

Hemoptysis after subclavian vein puncture for pacemaker implantation: A case report

Avishek Bagchi, Rajendra Kumar Agarwal, Kewa and Kishan Talwar*

Published: 15 November, 2019 | Volume 4 - Issue 3 | Pages: 192-194

Background: Subclavian venous access for pacemaker lead insertion is a common procedure and is normally considered safe in the hands of an expert. However, subclavian venepuncture is not without complications, starting from mild subcutaneous hematoma to pneumothorax. We here present a case of hemoptysis occurring after difficult subclavian vein puncture, which subsequently improved on conservative management only.

Case Summary: A 65-year-old gentleman, post aortic valve replacement had persistent high-grade AV block and was taken up for a dual chamber pacemaker implantation. Immediately following venous access, he had a bout of hemoptysis, which recovered on its own. Post procedure chest x-ray was suggestive of alveolar hemorrhage which cleared gradually in next three-four days.

Discussion: Post subclavian venepuncture hemoptysis is known; but it is a rare complication, arising either because of lung parenchyma injury or arterial injury. This is mostly benign and improves on conservative management only; however rarely it may be massive and life threatening where transcatheter arterial embolization may be required.

Read Full Article HTML DOI: 10.29328/journal.jccm.1001065 Cite this Article Read Full Article PDF


Case report; Subclavian venous access; Alveolar hemorrhage; Hemoptysis; Chest x-ray


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