title: Multidisciplinary treatment of subclavian artery injury after catheterization for atrial fibrillation ablation.
abstract: Subclavian vein cannulation is frequently performed in patients undergoing electrophysiologic procedures in order to facilitate catheterization of the coronary sinus. We present a rare case of massive haemothorax, secondary to subclavian artery injury, during an ablation of atrial fibrillation. Following the procedure, a chest radiograph revealed a massive left haemothorax and the angiographic phase of a computed tomography scan indicated the presence of active bleeding due to left subclavian artery injury. Active bleeding was initially managed through embolization of the subclavian artery branches and the patient was subsequently treated with combined endovascular stenting and video-assisted thoracic surgery.
authors: aArrhythmia Unit and Electrophysiology Laboratories bDepartment of Thoracic Surgery cDepartment of Vascular Surgery, Scientific Institute Hospital San Raffaele, Università Vita-Salute, Milan, Italy.
authors: Dimitris
authors: D
authors: Tsiachris
authors: Tsiachris
authors: T
authors: Dimitris
authors: Giampiero
authors: G
authors: Negri
authors: Negri
authors: N
authors: Giampiero
authors: Maria Enrico
authors: ME
authors: Marone
authors: Marone Enrico
authors: ME
authors: Maria
authors: Piergiorgio
authors: P
authors: Muriana
authors: Muriana
authors: M
authors: Piergiorgio
authors: Paola
authors: P
authors: Ciriaco
authors: Ciriaco
authors: C
authors: Paola
authors: Patrizio
authors: P
authors: Mazzone
authors: Mazzone
authors: M
authors: Patrizio
mesh_terms: D001281:Atrial Fibrillation / Q000628:therapy*; D017115:Catheter Ablation / Q000009:adverse effects; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D006491:Hemothorax / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery / Q000293:injuries* / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome