{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:06:57Z","timestamp":1789834017395,"version":"4.0.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cardiovasc Intervent Radiol"],"DOI":"10.1007\/s00270-026-04370-1","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T19:46:58Z","timestamp":1778528818000},"page":"1339-1351","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Clinical, Laboratory, and Imaging Characteristics of Spontaneous Soft-Tissue Hematomas in Anticoagulated Patients: Arterial Embolization Versus Conservative Treatment"],"prefix":"10.1007","volume":"49","author":[{"given":"Thibault","family":"Moyne","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damiano","family":"Cerasuolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Dohan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel","family":"Gerard-Brisou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Alves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Fohlen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Pierre","family":"Pelage","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"4370_CR1","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1016\/j.diii.2015.03.014","volume":"96","author":"A Dohan","year":"2015","unstructured":"Dohan A, Darnige L, Sapoval M, Pellerin O. Spontaneous soft tissue hematomas. Diagn Interv Imaging. 2015;96:789\u201396.","journal-title":"Diagn Interv Imaging"},{"key":"4370_CR2","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1016\/j.ijsu.2014.12.015","volume":"13","author":"A Hatjipetrou","year":"2015","unstructured":"Hatjipetrou A, Anyfantakis D, Kastanakis M. Rectus sheath hematoma: a review of the literature. Int J Surg. 2015;13:267\u201371.","journal-title":"Int J Surg"},{"key":"4370_CR3","unstructured":"ANSM Anticoagulation therapy in France in 2014 : state of play, synthesis and surveillance. National Agency for the Safety of Medicines and Health Products, France. 2014. Available via https:\/\/ansm.sante.fr\/dossiers-thematiques\/les-anti-vitamine-k-avk."},{"key":"4370_CR4","doi-asserted-by":"publisher","first-page":"257S","DOI":"10.1378\/chest.08-0674","volume":"133","author":"S Schulman","year":"2008","unstructured":"Schulman S, Beyth RJ, Kearon C, Levine MN. Hemorrhagic complications of anticoagulant and thrombolytic treatment: American College of Chest Physicians evidence-based clinical practice guidelines 8th ed. Chest. 2008;133:257S-298S.","journal-title":"Chest"},{"key":"4370_CR5","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1053\/j.sult.2006.01.008","volume":"27","author":"R Zissin","year":"2006","unstructured":"Zissin R, Ellis M, Gayer G. The CT findings of abdominal anticoagulant-related hematomas. Semin Ultrasound CT MRI. 2006;27:117\u201325.","journal-title":"Semin Ultrasound CT MRI"},{"key":"4370_CR6","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1016\/0002-9343(93)90285-W","volume":"95","author":"CS Landefeld","year":"1993","unstructured":"Landefeld CS, Beyth RJ. Anticoagulant-related bleeding: clinical epidemiology, prediction, and prevention. Am J Med. 1993;95:315\u201328.","journal-title":"Am J Med"},{"key":"4370_CR7","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1016\/j.ijsu.2009.01.007","volume":"7","author":"JEF Fitzgerald","year":"2009","unstructured":"Fitzgerald JEF, Fitzgerald LA, Anderson FE, Acheson AG. The changing nature of rectus sheath haematoma: case series and literature review. Int J Surg. 2009;7:150\u20134.","journal-title":"Int J Surg"},{"key":"4370_CR8","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1097\/01.md.0000216818.13067.5a","volume":"85","author":"WB Cherry","year":"2006","unstructured":"Cherry WB, Mueller PS. Rectus sheath hematoma: review of 126 cases at a single institution. Medicine (Baltimore). 2006;85:105\u201310.","journal-title":"Medicine (Baltimore)"},{"key":"4370_CR9","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1007\/s002610000007","volume":"25","author":"JD Bern\u00e1","year":"2000","unstructured":"Bern\u00e1 JD, Zuazu I, Madrigal M, et al. Conservative treatment of large rectus sheath hematoma in patients undergoing anticoagulant therapy. Abdom Imaging. 2000;25:230\u20134.","journal-title":"Abdom Imaging"},{"key":"4370_CR10","doi-asserted-by":"publisher","first-page":"1604","DOI":"10.1111\/j.1742-1241.2007.01494.x","volume":"62","author":"YC Chan","year":"2008","unstructured":"Chan YC, Morales JP, Reidy JF, Taylor PR. Management of spontaneous and iatrogenic retroperitoneal haemorrhage: Conservative management, endovascular intervention or open surgery? Int J Clin Pract. 2008;62:1604\u201313.","journal-title":"Int J Clin Pract"},{"key":"4370_CR11","doi-asserted-by":"publisher","first-page":"579","DOI":"10.1016\/j.ejim.2013.02.016","volume":"24","author":"A Smithson","year":"2013","unstructured":"Smithson A, Ruiz J, Perello R, et al. Diagnostic and management of spontaneous rectus sheath hematoma. Eur J Intern Med. 2013;24:579\u201382.","journal-title":"Eur J Intern Med"},{"key":"4370_CR12","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1016\/j.amjsurg.2019.05.002","volume":"219","author":"MH Warren","year":"2020","unstructured":"Warren MH, Bhattacharya B, Maung AA, Davis KA. Contemporary management of spontaneous retroperitoneal and rectus sheath hematomas: management of spontaneous hematomas. Am J Surg. 2020;219:707\u201310.","journal-title":"Am J Surg"},{"key":"4370_CR13","doi-asserted-by":"publisher","first-page":"1890","DOI":"10.1007\/s00268-019-04988-y","volume":"43","author":"JS Baekgaard","year":"2019","unstructured":"Baekgaard JS, Eskesen TG, Lee JM, et al. Spontaneous retroperitoneal and rectus sheath hemorrhage\u2014management, risk factors and outcomes. World J Surg. 2019;43:1890\u20137.","journal-title":"World J Surg"},{"key":"4370_CR14","doi-asserted-by":"publisher","first-page":"1396","DOI":"10.1016\/j.jvir.2011.06.008","volume":"22","author":"C Farrelly","year":"2011","unstructured":"Farrelly C, Fidelman N, Durack JC, et al. Transcatheter arterial embolization of spontaneous life-threatening extraperitoneal hemorrhage. J Vasc Interv Radiol. 2011;22:1396\u2013402.","journal-title":"J Vasc Interv Radiol"},{"key":"4370_CR15","doi-asserted-by":"publisher","first-page":"1303","DOI":"10.2214\/AJR.14.12578","volume":"204","author":"A Dohan","year":"2015","unstructured":"Dohan A, Sapoval M, Chousterman BG, et al. Spontaneous soft-tissue hemorrhage in anticoagulated patients: safety and efficacy of embolization. AJR Am J Roentgenol. 2015;204:1303\u201310.","journal-title":"AJR Am J Roentgenol"},{"issue":"3","key":"4370_CR16","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1007\/s00270-018-2086-x","volume":"42","author":"L Touma","year":"2019","unstructured":"Touma L, Cohen S, Cassinotto C, et al. Transcatheter arterial embolization of spontaneous soft tissue hematomas: a systematic review. Cardiovasc Intervent Radiol. 2019;42(3):335\u201343.","journal-title":"Cardiovasc Intervent Radiol"},{"key":"4370_CR17","doi-asserted-by":"publisher","first-page":"157.e11","DOI":"10.1016\/j.crad.2020.10.003","volume":"76","author":"C Klausenitz","year":"2021","unstructured":"Klausenitz C, Kuehn JP, Noeckler K, et al. Efficacy of transarterial embolisation in patients with life-threatening spontaneous retroperitoneal haematoma. Clin Radiol. 2021;76:157.e11-157.e18.","journal-title":"Clin Radiol"},{"key":"4370_CR18","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1148\/radiol.2018181187","volume":"291","author":"M Barral","year":"2019","unstructured":"Barral M, Pellerin O, Tran VT, et al. Predictors of mortality from spontaneous soft-tissue hematomas in a large multicenter cohort who underwent percutaneous transarterial embolization. Radiology. 2019;291:250\u20138.","journal-title":"Radiology"},{"key":"4370_CR19","doi-asserted-by":"publisher","first-page":"951","DOI":"10.1007\/s11547-015-0516-2","volume":"120","author":"S Pieri","year":"2015","unstructured":"Pieri S, Agresti P, Buquicchio GL, et al. Endovascular management of the rectus muscle hematoma. Radiol Med. 2015;120:951\u20138.","journal-title":"Radiol Med"},{"key":"4370_CR20","doi-asserted-by":"publisher","first-page":"2177","DOI":"10.1016\/j.ajem.2018.03.061","volume":"36","author":"VG Menditto","year":"2018","unstructured":"Menditto VG, Fulgenzi F, Lombardi S, et al. Management of spontaneous soft-tissue hemorrhage secondary to anticoagulant therapy: a cohort study. Am J Emerg Med. 2018;36:2177\u201381.","journal-title":"Am J Emerg Med"},{"key":"4370_CR21","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1016\/j.jvir.2019.06.009","volume":"31","author":"BN Contrella","year":"2020","unstructured":"Contrella BN, Park AW, Wilkins LR, et al. Spontaneous rectus sheath hematoma: factors predictive of conservative management failure. J Vasc Interv Radiol. 2020;31:323\u201330.","journal-title":"J Vasc Interv Radiol"},{"key":"4370_CR22","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1007\/s00270-017-1590-8","volume":"40","author":"M Popov","year":"2017","unstructured":"Popov M, Sotiriadis C, Gay F, et al. Spontaneous intramuscular hematomas of the abdomen and pelvis: a new multilevel algorithm to direct transarterial embolization and patient management. Cardiovasc Intervent Radiol. 2017;40:537\u201345.","journal-title":"Cardiovasc Intervent Radiol"},{"key":"4370_CR23","doi-asserted-by":"publisher","unstructured":"CIRSE standards of practice for the classification of complications: the modified CIRSE classification system. Cardiovasc. Intervent. Radiol. 2025 Oct 16. https:\/\/doi.org\/10.1007\/s00270-025-04200-w.","DOI":"10.1007\/s00270-025-04200-w"},{"key":"4370_CR24","doi-asserted-by":"publisher","first-page":"1321","DOI":"10.1111\/j.1742-1241.2006.01207.x","volume":"61","author":"R Zissin","year":"2007","unstructured":"Zissin R, Gayer G, Kots E, et al. Transcatheter arterial embolisation in anticoagulant-related haematoma\u2014a current therapeutic option: a report of four patients and review of the literature. Int J Clin Pract. 2007;61:1321\u20137.","journal-title":"Int J Clin Pract"},{"key":"4370_CR25","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1007\/s002619900011","volume":"21","author":"JD Bern\u00e1","year":"1996","unstructured":"Bern\u00e1 JD, Garcia-Medina V, Guirao J, Garcia-Medina J. Rectus sheath hematoma: diagnostic classification by CT. Abdom Imaging. 1996;21:62\u20134.","journal-title":"Abdom Imaging"},{"key":"4370_CR26","doi-asserted-by":"publisher","first-page":"1231","DOI":"10.1016\/S1051-0443(07)61686-8","volume":"12","author":"MJ Sharafuddin","year":"2001","unstructured":"Sharafuddin MJ, Andresen KJ, Sun S, et al. Spontaneous extraperitoneal hemorrhage with hemodynamic collapse in patients undergoing anticoagulation: management with selective arterial embolization. J Vasc Interv Radiol. 2001;12:1231\u20134.","journal-title":"J Vasc Interv Radiol"},{"key":"4370_CR27","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1016\/j.jvir.2017.08.006","volume":"29","author":"R Jawhari","year":"2018","unstructured":"Jawhari R, Chevallier O, Falvo N, et al. Outcomes of transcatheter arterial embolization with a modified N-butyl cyanoacrylate glue for spontaneous iliopsoas and rectus sheath hematomas in anticoagulated patients. J Vasc Interv Radiol. 2018;29:210\u20137.","journal-title":"J Vasc Interv Radiol"},{"issue":"14","key":"4370_CR28","doi-asserted-by":"publisher","first-page":"4779","DOI":"10.3390\/jcm12144779","volume":"12","author":"F Tiralongo","year":"2023","unstructured":"Tiralongo F, Giurazza F, Di Pietro S, et al. Spontaneous abdominal wall hematoma treated with percutaneous transarterial embolization: diagnostic findings, procedural outcome, and efficacy-a multicenter study. J Clin Med. 2023;12(14):4779.","journal-title":"J Clin Med"},{"issue":"1","key":"4370_CR29","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1186\/s42155-024-00462-6","volume":"7","author":"F Tiralongo","year":"2024","unstructured":"Tiralongo F, Toscano S, Mosconi C, et al. Spontaneous retroperitoneal hematoma treated with transarterial embolization: a systematic review and metanalysis. CVIR Endovasc. 2024;7(1):50.","journal-title":"CVIR Endovasc"}],"container-title":["CardioVascular and Interventional Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00270-026-04370-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00270-026-04370-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00270-026-04370-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T20:52:55Z","timestamp":1783371175000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00270-026-04370-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,11]]},"references-count":29,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["4370"],"URL":"https:\/\/doi.org\/10.1007\/s00270-026-04370-1","relation":{},"ISSN":["1432-086X"],"issn-type":[{"value":"1432-086X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,11]]},"assertion":[{"value":"21 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.The authors of this manuscript declare relationships with the following companies: Jean-Pierre Pelage: research grants Guerbet, Terumo, Merit medical,Audrey Fohlen: consultant Cook.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.For this type of study formal consent is not required.Institutional Review Board approval was obtained: this study was conducted in a university hospital and was approved by the Research Ethics Committee (CLERS identification number 2315).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"Written informed consent was waived by the Institutional Review Board.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}}]}}