It was reported that during implant of the leadless implantable pulse generator (ipg), the patient experienced decrease in consciousness and blood pressure, shock symptoms and bleeding of the abdominal cavity.Venography of the lower extremities revealed leakage of contrast medium from the right side at the left and right bifurcations.An emergency laparotomy was performed and hemostasis was performed at all bleeding points.The physician estimated that the puncture point was high, and the abdominal cavity and retroperitoneum were penetrated and a vein was hit.When the system was removed after the procedure, blood flowed into the abdominal cavity from the puncture site of the vein.It was diagnosed as decrease in consciousness level due to hemorrhagic shock.The leadless ipg remains in use.No further patient complications have been reported as a result of this event.
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