{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:10:04Z","timestamp":1756318204512,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,2,3]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>A man in his 60s was admitted for radiofrequency catheter ablation (RFCA) as a treatment for atrial fibrillation. A decapolar catheter (Synaptic Medical, Beijing, China) was inserted into the coronary sinus via the left subclavian vein. Two hours after RFCA, the patient presented new symptoms of cough, mild haemoptysis, mild dyspnoea and mild chest discomfort. Contrast-enhanced CT showed a mediastinal haematoma with contrast medium extravasation at the interlobular fissure outside the parietal pleura and mild\u2013moderate pericardial effusion. Active left subclavian artery bleeding, rather than venous bleeding due to superior vena cava perforation, was finally diagnosed. Ongoing haemorrhage conservative treatment with red cell concentrate and intravenous fluid (normal saline) replacement may lead to compression of the mediastinum, and a covered stent was used to treat this iatrogenic complication.<\/jats:p>","DOI":"10.1136\/bcr-2023-258432","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T02:10:29Z","timestamp":1709086229000},"page":"e258432","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of accidental puncture of the left subclavian artery and ongoing haemorrhage with vascular stenting"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7777-574X","authenticated-orcid":false,"given":"Chengye","family":"Di","sequence":"first","affiliation":[{"name":"First Department of Cardiology, TEDA International Cardiovascular Hospital, Tianjin, China"},{"name":"Cardiovascular Institute, Tianjin University, Tianjin, China"},{"name":"College of Clinical Cardiology, Tianjin Medical University, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qun","family":"Wang","sequence":"additional","affiliation":[{"name":"First Department of Cardiology, TEDA International Cardiovascular Hospital, Tianjin, China"},{"name":"Cardiovascular Institute, Tianjin University, Tianjin, China"},{"name":"College of Clinical Cardiology, Tianjin Medical University, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanxi","family":"Wu","sequence":"additional","affiliation":[{"name":"First Department of Cardiology, TEDA International Cardiovascular Hospital, Tianjin, China"},{"name":"Cardiovascular Institute, Tianjin University, Tianjin, China"},{"name":"College of Clinical Cardiology, Tianjin Medical University, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0145-1677","authenticated-orcid":false,"given":"Wenhua","family":"Lin","sequence":"additional","affiliation":[{"name":"First Department of Cardiology, TEDA International Cardiovascular Hospital, Tianjin, China"},{"name":"Cardiovascular Institute, Tianjin University, Tianjin, China"},{"name":"College of Clinical Cardiology, Tianjin Medical University, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,2,27]]},"reference":[{"key":"2025082710413469000_17.2.e258432.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.08.028"},{"key":"2025082710413469000_17.2.e258432.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(03)00553-6"},{"key":"2025082710413469000_17.2.e258432.3","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1016\/j.jvs.2015.08.117","article-title":"Outcome comparison between open and endovascular management of axillosubclavian arterial injuries","volume":"63","author":"Branco","year":"2016","journal-title":"J Vasc Surg"},{"key":"2025082710413469000_17.2.e258432.4","first-page":"249","article-title":"An accidental subclavian artery cannulation: successful catheter removal by percutaneous vascular stenting","volume":"73","author":"Cipanio","year":"2007","journal-title":"Minerva Anestesiol"},{"key":"2025082710413469000_17.2.e258432.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2006.10.025"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-258432","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:41:42Z","timestamp":1756316502000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-258432"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":5,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,2,27]]},"published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1136\/bcr-2023-258432"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-258432","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,2]]}}}