Tab. III.
Adverse events in the group of 34 patients undergoing PLAAO
No. | Complication | Cause of complication | Management | Conclusions |
---|---|---|---|---|
1 | Cardiac tamponade | Due to the unfavorable anatomy of the appendage, the hooks stabilizing the lobe of the occluder damaged the adventitia of the pulmonary artery; tamponade occurred on the 2nd postoperative day | Sternotomy, cardiac decompression, LA appendage control | Patient discharged from the department on the 7th postoperative day. Paying attention to anatomical features of the region around the LA appendage |
2 | Bleeding from the femoral artery | Accidental puncture of the artery during the procedure, significant susceptibility to bleeding after antiplatelet agents | Surgical intervention within the groin, bleeding site repair, suturing the wound | Femoral vein puncture under ultrasound control; in the case of arterial puncture – Angio-Seal implantation |
3 | Bleeding from the femoral vein | Accidental puncture of a collateral branch of the femoral vein. Bleeding from the femoral vein | Surgical intervention within the groin, bleeding site repair, suturing the wound | Femoral vein puncture under ultrasound control. Compression dressing |
4 | Bleeding from the femoral vein | Puncture of the lateral wall of the femoral vein. Bleeding from the femoral vein | Surgical intervention within the groin, bleeding site repair, suturing the wound | Femoral vein puncture under ultrasound control. Compression dressing |