A Hydrophilic-Wire Induced Vascular Perforation Causing Mediastinal Hematoma During Transradial Coronary Intervention

J Invasive Cardiol. 2019 May;31(5):E96.

Abstract

This is the first reported case of evidence of a hydrophilic wire traveling into a small branch and inducing perforation; this case highlights the need for fluoroscopically guided hydrophilic wire manipulation. Prompt treatment of such perforations is the best course of action.

Keywords: complications; computed tomography; hematoma.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Cardiac Catheterization* / adverse effects
  • Cardiac Catheterization* / instrumentation
  • Cardiac Catheterization* / methods
  • Catheterization, Peripheral* / adverse effects
  • Catheterization, Peripheral* / instrumentation
  • Catheterization, Peripheral* / methods
  • Coronary Angiography / methods*
  • Hematoma* / diagnosis
  • Hematoma* / etiology
  • Hematoma* / surgery
  • Humans
  • Intraoperative Complications* / diagnosis
  • Intraoperative Complications* / etiology
  • Intraoperative Complications* / therapy
  • Male
  • Mediastinum / diagnostic imaging
  • Middle Aged
  • Radial Artery / surgery
  • Subclavian Artery* / diagnostic imaging
  • Subclavian Artery* / injuries
  • Tomography, X-Ray Computed / methods*
  • Treatment Outcome
  • Vascular System Injuries* / diagnosis
  • Vascular System Injuries* / etiology
  • Vascular System Injuries* / physiopathology
  • Vascular System Injuries* / surgery