Post-Catheterization Hematoma: Concerns and Management Tips

Large hematoma after cardiac catheterization?

Hello, doctor.
I would like to ask about my condition.
I had a cardiac catheterization 5-6 days ago, and currently, there is a large hematoma at the site where the catheter was inserted in my right leg, and I am experiencing increasing pain while walking.
I have a follow-up appointment next Monday; is this normal? I applied ice for the first few days, but I started using heat packs in the last two days.
Is this the correct approach, or how should I manage this? On the morning of my discharge, I suddenly felt dizzy and nauseous when I got up to go to the bathroom.
I mentioned this to the doctor, who said it might be a bit of anemia.
However, even after a few days post-discharge, I still experience similar symptoms if I stand up for too long, along with cold sweats and pale skin.
Is this related to the hematoma? Additionally, during the cardiac catheterization, it was found that my major blood vessels are fine, but there is a myocardial bridge causing chest tightness, chest pain, and shortness of breath.
The doctor mentioned that the myocardial bridge is congenital.
Why did I not experience these symptoms before, but only after the New Year? I apologize for the many questions, and I greatly appreciate your help!

Cindy Wang, 40~49 year old female. Ask Date: 2020/04/01

Dr. Huang Yinghe reply Cardiology

1.
Postoperative hematomas are quite common and typically resolve on their own within two to three weeks.
In rare cases, if a pseudovascular tumor forms, further intervention may be necessary.
Please have your physician examine the wound during your follow-up visit.
If the hematoma is large, it may cause some anemia; however, increasing fluid intake should help alleviate any dizziness.
2.
Myocardial bridging may not always present symptoms.
Maintaining a normal lifestyle and reducing physical stress can help minimize related symptoms.
If symptoms persist, please discuss the possibility of medication treatment with your physician.

Reply Date: 2020/04/01

More Info

Post-catheterization hematoma is a common complication following procedures such as cardiac catheterization, where a catheter is inserted into a blood vessel, often in the groin or arm, to diagnose or treat heart conditions. The formation of a hematoma occurs when blood leaks out of the vessel and collects in the surrounding tissue, leading to swelling, discoloration, and sometimes pain at the site.
In your case, the development of a large hematoma in your right leg, along with increasing pain, is concerning but not uncommon. It is essential to monitor the situation closely, as hematomas can sometimes lead to complications such as infection or significant blood loss. The fact that you are experiencing increased pain and discomfort warrants attention, especially if it continues to worsen.

Ice therapy is typically recommended immediately after the procedure to reduce swelling and numb the area. However, after the initial 48 hours, transitioning to heat therapy can help promote blood flow and facilitate the reabsorption of the hematoma. It is essential to ensure that you are not applying heat directly to the skin and that you are using a barrier, such as a towel, to prevent burns.

Regarding your symptoms of dizziness, nausea, and cold sweats, these could be related to several factors, including the hematoma itself, potential blood loss, or even anxiety related to your recent procedure. If you are experiencing persistent symptoms such as these, it is crucial to communicate them to your healthcare provider, as they may indicate a need for further evaluation.

As for the discovery of a myocardial bridge during your catheterization, this is a congenital condition where a band of heart muscle lies over a coronary artery, potentially compressing it during heart contractions. While many individuals with a myocardial bridge remain asymptomatic, it can sometimes lead to symptoms such as chest pain or discomfort, especially under stress or exertion. The onset of symptoms after the new year could be coincidental, or it may indicate that changes in your activity level, stress, or other health factors have exacerbated the condition.

In summary, while some degree of swelling and discomfort is expected after catheterization, the increasing pain and other symptoms you are experiencing should be evaluated by your healthcare provider. It is essential to follow up with them as scheduled, but do not hesitate to seek earlier medical attention if your symptoms worsen or if you have any new concerns. Your health and safety are paramount, and timely intervention can help prevent complications.

Similar Q&A

Managing Traumatic Hematomas: Effective Treatment Strategies and Recovery Insights

Hello, doctor! My mother sustained a knee contusion due to a car accident around the 20th of last month, resulting in external injury and internal bleeding with swelling. Initially, she underwent ice therapy, artificial skin grafting for the wound, and continuous heat therapy. By...

Dr. Huang Junxiong reply Surgery
Hello: "Spontaneous drainage of a hematoma" may only indicate that part of the hematoma has leaked serous fluid, while the majority of the hematoma still remains. Based on your description, it is possible that this is a type of "degloving injury." Surgical deb...

Post-Operative Complications: Managing Hematoma and Excessive Bleeding After Circumcision

Hello Doctor, on the afternoon of September 5th, I underwent a traditional circumcision surgery. That night, I experienced a significant amount of unexplained bleeding, and after a challenging trip to the emergency room, the bleeding was finally controlled in the early morning. A...

Dr. Du Shixi reply Urology
Hello: 1. Will the hematoma caused by bleeding on the 5th extend the recovery period? --> Yes. 2. After reviewing numerous experiences on forums about circumcision, I noticed that it seems like no one else had to apply pressure bandaging the day after surgery like I did. Wi...

Alternatives to Surgery for Hematoma After Hip Injury and Dizziness Concerns

My mother has a hard lump on her hip that has not resolved since her car accident three weeks ago (approximately 7 cm in diameter), which is likely a hematoma. The doctor mentioned that surgery is necessary to remove the hematoma. I would like to know if there are any alternative...

Dr. Huang Junxiong reply Surgery
Hello: In addition to surgical methods for hematoma, you may consider attempting aspiration with a needle (which can be guided by ultrasound) to remove it, followed by local compression to prevent recurrence (such as wearing compression stockings). However, if the clot has not ye...

Understanding Post-Banding Pain and Discomfort After Hemorrhoid Treatment

Hello Dr. Ke, I have been experiencing bleeding from internal hemorrhoids. I underwent ligation twice at a large hospital over ten years ago. In the past three to four years, I have had episodes of "painless" bleeding approximately every 2 to 3 months, sometimes with s...

Dr. Ke Fangxu reply Surgery
If the ligation of hemorrhoids is done at a shallower depth, it may lead to discomfort. Generally, the symptoms will subside as the wound heals. During this period, taking warm sitz baths and applying ointment can help. If the pain is severe, oral medications can also be used to ...