{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T10:30:06Z","timestamp":1789727406258,"version":"4.0.1"},"reference-count":8,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T00:00:00Z","timestamp":1765929600000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Endobronchial ultrasound\u2010guided transbronchial needle aspiration (EBUS\u2010TBNA) is widely considered a safe and minimally invasive procedure for the evaluation of mediastinal lymphadenopathy. Although complications are rare, severe haemorrhagic events may occur, particularly when vascular structures are punctured. A 31\u2010year\u2010old woman with Budd\u2013Chiari syndrome underwent EBUS\u2010TBNA for hypermetabolic mediastinal lymph nodes. Sampling was uneventful, but she developed massive haemoptysis 7\u2009days later. Contrast\u2010enhanced CT and bronchoscopy identified two 4R lymph node pseudoaneurysms, confirmed by angiography. The lesion was successfully treated with selective microcoil embolisation. No recurrence was observed at two\u2010month follow\u2010up, despite resuming anticoagulation. Delayed pseudoaneurysm is an exceptionally rare but potentially life\u2010threatening complication of EBUS\u2010TBNA. Pre\u2010procedural Doppler assessment, awareness of vascular variants, and timely imaging are essential. Endovascular embolisation is an effective, minimally invasive treatment. Early recognition and multidisciplinary management are crucial to prevent catastrophic outcomes.<\/jats:p>","DOI":"10.1002\/rcr2.70446","type":"journal-article","created":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T14:53:15Z","timestamp":1765983195000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Delayed Massive Haemoptysis Following\n                    <scp>EBUS<\/scp>\n                    \u2010\n                    <scp>TBNA<\/scp>\n                    Revealing a Pseudoaneurysm of an Ectopic Bronchial Artery: A Rare Complication at the Crossroads of Interventional Pulmonology and Radiology"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3440-6354","authenticated-orcid":false,"given":"Julien G.","family":"Cohen","sequence":"first","affiliation":[{"name":"Radiology Unit, Diagnostic Department University Hospitals of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6968-695X","authenticated-orcid":false,"given":"Matthieu","family":"Papillard","sequence":"additional","affiliation":[{"name":"Radiology Unit, Diagnostic Department University Hospitals of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romain","family":"Messe","sequence":"additional","affiliation":[{"name":"Pneumology Unit, Internal Medicine Department University Hospitals of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2005.047829"},{"key":"e_1_2_11_3_1","first-page":"12","article-title":"Complications of Linear Endobronchial Ultrasound Guided Biopsies: Narrative Review","volume":"9","author":"Rizvi B.","year":"2025","journal-title":"Media"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1465-9921-14-50"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-025-03503-5"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2207738"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms242216382"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2019.00817"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.5152\/dir.2017.16454"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70446","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,28]],"date-time":"2025-12-28T19:24:26Z","timestamp":1766949866000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70446"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":8,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/rcr2.70446"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70446","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-10-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70446"}}