Subclavian Artery Perforation and Mediastinal Hematoma Following Transradial Percutaneous Coronary Intervention

Gulsin, Gaurav S.; Taqi, Hussein; Azeem, Tariq

doi:10.1016/j.jaccas.2021.05.009

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…Mediastinal compression syndrome might not be the first thing to come in mind. 4 Mediastinal compression syndrome is a life-threatening condition caused by compression to structures inside it such as the heart, aorta, or pulmonary arteries. Imaging modalities that can be utilized for this condition include chest X-ray, ultrasonography, CT scan, and magnetic resonance imaging.…”

Section: Discussionmentioning

confidence: 99%

Acute Mediastinal Bleeding with Pleural Escape: Case Report of a Rare Interventional Complication with Unusual Resolve

Widodo

Mansjoer²,

Dilawar³

et al. 2022

Int J Angiol

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Acute mediastinal bleeding is a very rare complication of cardiac intervention. It is a life-threatening situation when this condition causes acute compression of the mediastinal area. A 59-year-old man was diagnosed with inferior ST-elevation myocardial infarction with ongoing chest pain and underwent an urgent percutaneous coronary intervention procedure. After coronary stent was implanted, patient complained of chest tightness, and suffocation, blood pressure dropped, O2 saturation dropped, and was difficultly intubated. Image acquisition by C-arm showed a large bulging in aortic arch area. Contrast-enhanced computed tomography ruled out aortic dissection, but noted a large mediastinal mass that was radiated to the neck. The bulging was spontaneously regressed, and a large left pleural effusion was developed. Left pleural tapping was performed on day 7, and a total of 1.5-L hemorrhagic fluid was evacuated. In our case, unusual drainage from mediastinal to pleural space has probably save the patient.

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Section: Discussionmentioning

confidence: 99%

Acute Mediastinal Bleeding with Pleural Escape: Case Report of a Rare Interventional Complication with Unusual Resolve

Widodo

Mansjoer²,

Dilawar³

et al. 2022

Int J Angiol

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“…Subclavian artery bleeding is a serious complication of cardiovascular interven- tional procedures that can lead to tracheal obstruction, hemothorax, respiratory failure, hemorrhagic shock, and death if not diagnosed early and timely treatment [1] [2]. Left subclavian artery bleeding is a rare complication of cardiac pacemaker implantation, when occurring, often causes life-threatening hemorrhage and must be carefully ruled out by physical examination as well as diagnosed by imaging through contrast dye on a brightening screen right during the intervention [1] [2] [3].…”

Section: Introductionmentioning

confidence: 99%

Subclavian Arterial Bleeding during Permanent Pacemaker Implantation: Clinical Case Report and Literature Review

Chu,

Tran,

Tran

et al. 2023

OJEM

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Research objective: To study a clinical case that had a complication of subclavian artery bleeding during permanent pacemaker implantation process. Subject and Method: Clinical case report and literature review. Study of a patient had an indication for permanent pacemaker implantation who had complication of subclavian artery bleeding during the procedure. Result: An 84-year-old female patient was admitted to the hospital because of fainting spells with chest pain, on the background of dangerous complex arrhythmias and ischemic heart disease, and was prescribed a pacemaker for this patient. The patient had complication occurred during the procedure, which left subclavian artery bleeding was detected and treated promptly, a cardiac pacemaker was implanted on the right side of the chest, and the patient had a successful endovascular stent cover in the left subclavian artery. Conclude: Subclavian artery bleeding is a rare complication in the procedure of permanent pacemaker implantation, but it can still occur and requires quick detection and timely treatment, needs to be successful in cardiac pacemaker placement and subclavian artery drug-eluting stent cover placement intervention. Individualized patient risk assessment is needed; appropriate and standardized intervention techniques and experience can reduce the occurrence of this variable.

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Radial Artery Access Complications: Prevention, Diagnosis and Management

Roy

Kabach

Patel

et al. 2022

Cardiovascular Revascularization Medicine

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Subclavian Artery Perforation and Mediastinal Hematoma Following Transradial Percutaneous Coronary Intervention

Cited by 4 publications

References 7 publications

Acute Mediastinal Bleeding with Pleural Escape: Case Report of a Rare Interventional Complication with Unusual Resolve

Acute Mediastinal Bleeding with Pleural Escape: Case Report of a Rare Interventional Complication with Unusual Resolve

Subclavian Arterial Bleeding during Permanent Pacemaker Implantation: Clinical Case Report and Literature Review

Radial Artery Access Complications: Prevention, Diagnosis and Management

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