Mediastinal Hematoma as a Potential Complication of Endovascular Intracranial Intervention
Objective To highlight the rare incidence of mediastinal hematoma as a complication associated with transradial access, as reported in both cardiovascular and neurovascular fields. Interventionists must be aware of this potential risk and the strategies to manage it. Case Presentation A 66‐year‐old...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-11-01
|
| Series: | Stroke: Vascular and Interventional Neurology |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/SVIN.124.001437 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849734833721311232 |
|---|---|
| author | Salvador F. Gutierrez‐Aguirre Otavio F. De Toledo Eduarda M. Freitas Victor H.C. Benalia Amin Aghaebrahim Ricardo A. Hanel Eric Sauvageau |
| author_facet | Salvador F. Gutierrez‐Aguirre Otavio F. De Toledo Eduarda M. Freitas Victor H.C. Benalia Amin Aghaebrahim Ricardo A. Hanel Eric Sauvageau |
| author_sort | Salvador F. Gutierrez‐Aguirre |
| collection | DOAJ |
| description | Objective To highlight the rare incidence of mediastinal hematoma as a complication associated with transradial access, as reported in both cardiovascular and neurovascular fields. Interventionists must be aware of this potential risk and the strategies to manage it. Case Presentation A 66‐year‐old woman presented to an outside hospital's emergency department with 2 months of dizziness and vertigo. A right posterior communication artery aneurysm was discovered incidentally on workup images. On discussing potential options, including observation, the patient opted for endovascular intervention. The aneurysm was treated using a Woven Endobridge Single‐Layer Sphere (SLS) intrasaccular flow disrupter device. After the procedure, the patient was extubated but subsequently required reintubation because of the context of stridor. Radiologic evaluation revealed a mediastinal hematoma, which was suspected to be a direct complication from the transradial access. This required immediate treatment with coil embolization of the perforated vessel at the subclavian artery originating from the costocervical trunk. Conclusion Mediastinal hematoma is a rare complication after neurointerventional procedures by transradial access. Prompt diagnosis and appropriate treatment are critical to managing this potentially lethal condition. |
| format | Article |
| id | doaj-art-e2cc012fd47d40769b1a3b21d11f07b6 |
| institution | DOAJ |
| issn | 2694-5746 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke: Vascular and Interventional Neurology |
| spelling | doaj-art-e2cc012fd47d40769b1a3b21d11f07b62025-08-20T03:07:41ZengWileyStroke: Vascular and Interventional Neurology2694-57462024-11-014610.1161/SVIN.124.001437Mediastinal Hematoma as a Potential Complication of Endovascular Intracranial InterventionSalvador F. Gutierrez‐Aguirre0Otavio F. De Toledo1Eduarda M. Freitas2Victor H.C. Benalia3Amin Aghaebrahim4Ricardo A. Hanel5Eric Sauvageau6Baptist Neurological Institute Jacksonville FLBaptist Neurological Institute Jacksonville FLBaptist Neurological Institute Jacksonville FLBaptist Neurological Institute Jacksonville FLBaptist Neurological Institute Jacksonville FLBaptist Neurological Institute Jacksonville FLBaptist Neurological Institute Jacksonville FLObjective To highlight the rare incidence of mediastinal hematoma as a complication associated with transradial access, as reported in both cardiovascular and neurovascular fields. Interventionists must be aware of this potential risk and the strategies to manage it. Case Presentation A 66‐year‐old woman presented to an outside hospital's emergency department with 2 months of dizziness and vertigo. A right posterior communication artery aneurysm was discovered incidentally on workup images. On discussing potential options, including observation, the patient opted for endovascular intervention. The aneurysm was treated using a Woven Endobridge Single‐Layer Sphere (SLS) intrasaccular flow disrupter device. After the procedure, the patient was extubated but subsequently required reintubation because of the context of stridor. Radiologic evaluation revealed a mediastinal hematoma, which was suspected to be a direct complication from the transradial access. This required immediate treatment with coil embolization of the perforated vessel at the subclavian artery originating from the costocervical trunk. Conclusion Mediastinal hematoma is a rare complication after neurointerventional procedures by transradial access. Prompt diagnosis and appropriate treatment are critical to managing this potentially lethal condition.https://www.ahajournals.org/doi/10.1161/SVIN.124.001437aneurysmcase reportcerebral angiographyendovasculartransradial access |
| spellingShingle | Salvador F. Gutierrez‐Aguirre Otavio F. De Toledo Eduarda M. Freitas Victor H.C. Benalia Amin Aghaebrahim Ricardo A. Hanel Eric Sauvageau Mediastinal Hematoma as a Potential Complication of Endovascular Intracranial Intervention Stroke: Vascular and Interventional Neurology aneurysm case report cerebral angiography endovascular transradial access |
| title | Mediastinal Hematoma as a Potential Complication of Endovascular Intracranial Intervention |
| title_full | Mediastinal Hematoma as a Potential Complication of Endovascular Intracranial Intervention |
| title_fullStr | Mediastinal Hematoma as a Potential Complication of Endovascular Intracranial Intervention |
| title_full_unstemmed | Mediastinal Hematoma as a Potential Complication of Endovascular Intracranial Intervention |
| title_short | Mediastinal Hematoma as a Potential Complication of Endovascular Intracranial Intervention |
| title_sort | mediastinal hematoma as a potential complication of endovascular intracranial intervention |
| topic | aneurysm case report cerebral angiography endovascular transradial access |
| url | https://www.ahajournals.org/doi/10.1161/SVIN.124.001437 |
| work_keys_str_mv | AT salvadorfgutierrezaguirre mediastinalhematomaasapotentialcomplicationofendovascularintracranialintervention AT otaviofdetoledo mediastinalhematomaasapotentialcomplicationofendovascularintracranialintervention AT eduardamfreitas mediastinalhematomaasapotentialcomplicationofendovascularintracranialintervention AT victorhcbenalia mediastinalhematomaasapotentialcomplicationofendovascularintracranialintervention AT aminaghaebrahim mediastinalhematomaasapotentialcomplicationofendovascularintracranialintervention AT ricardoahanel mediastinalhematomaasapotentialcomplicationofendovascularintracranialintervention AT ericsauvageau mediastinalhematomaasapotentialcomplicationofendovascularintracranialintervention |