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CASE REPORT article
Front. Cardiovasc. Med.
Sec. Coronary Artery Disease
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1414907
This article is part of the Research Topic Case Reports in Coronary Artery Disease: 2024 View all 10 articles
Mediastinal Hematoma Following Transradial Percutaneous Coronary Intervention: Case Report and Literature Review
Provisionally accepted- 1 Jinhua Central Hospital, Jinhua, China
- 2 Zhejiang University, Hangzhou, Zhejiang Province, China
Mediastinal hematoma due to transradial PCI is rare. We reported a case of chest tightness, dyspnea, progressive neck swelling after transradial PCI. Clinical examinations such as chest computer tomography were completed and identified as mediastinal hematoma caused by a rupture of the subclavian artery branch and occlude the artery under digital subtraction angiography guidance, the artery was considered to be a collateral vessel of non-bronchial arterial circulation. This case highlights the necessity of exercising extreme caution when utilizing hydrophilic-coated curved-tip guidewires during the advancement process in peripheral vascular procedures.. Mediastinal hematoma is a life-threatening complication and progresses rapidly,we need timely identification and diagnosis based on symptoms and appropriate clinical examination, interventional embolization therapy is critical for patients with poor response of conservative treatment.
Keywords: Percutaneous Coronary Intervention, Radial Artery, complication, Mediastinal hematoma, interventional embolization
Received: 09 Apr 2024; Accepted: 17 Feb 2025.
Copyright: © 2025 Qiangsong, Jiamin, Xianqing, Xiaogang and Shenwen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Jin Qiangsong, Jinhua Central Hospital, Jinhua, China
Fu Shenwen, Jinhua Central Hospital, Jinhua, China
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