{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:35:09Z","timestamp":1753889709148,"version":"3.41.2"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["SVIN"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Objective<\/jats:title>\n            <jats:p xml:lang=\"en\">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.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Case Presentation<\/jats:title>\n            <jats:p xml:lang=\"en\">A 66\u2010year\u2010old 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\u2010Layer 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.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p xml:lang=\"en\">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.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/svin.124.001437","type":"journal-article","created":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T05:23:26Z","timestamp":1728278606000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Mediastinal Hematoma as a Potential Complication of Endovascular Intracranial Intervention"],"prefix":"10.1161","volume":"4","author":[{"given":"Salvador F.","family":"Gutierrez\u2010Aguirre","sequence":"first","affiliation":[{"name":"Baptist Neurological Institute","place":["Jacksonville"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Otavio F.","family":"De Toledo","sequence":"additional","affiliation":[{"name":"Baptist Neurological Institute","place":["Jacksonville"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduarda M.","family":"Freitas","sequence":"additional","affiliation":[{"name":"Baptist Neurological Institute","place":["Jacksonville"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor H.C.","family":"Benalia","sequence":"additional","affiliation":[{"name":"Baptist Neurological Institute","place":["Jacksonville"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amin","family":"Aghaebrahim","sequence":"additional","affiliation":[{"name":"Baptist Neurological Institute","place":["Jacksonville"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo A.","family":"Hanel","sequence":"additional","affiliation":[{"name":"Baptist Neurological Institute","place":["Jacksonville"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4399-1142","authenticated-orcid":false,"given":"Eric","family":"Sauvageau","sequence":"additional","affiliation":[{"name":"Baptist Neurological Institute","place":["Jacksonville"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"doi-asserted-by":"publisher","key":"e_1_3_2_2_2","DOI":"10.1136\/neurintsurg-2017-013295"},{"key":"e_1_3_2_3_2","doi-asserted-by":"crossref","first-page":"1410","DOI":"10.1002\/ccd.30085","article-title":"Profile and outcomes of patients with mediastinal hematoma after cardiac catheterization: a retrospective analysis","volume":"99","author":"Luo XL","year":"2022","unstructured":"Luo XL, Yang WX, Zhang J, Yuan JS, Wan JY, Qiao SB. Profile and outcomes of patients with mediastinal hematoma after cardiac catheterization: a retrospective analysis. Catheter Cardiovasc Interv. 2022;99:1410\u20101417.","journal-title":"Catheter Cardiovasc Interv"},{"doi-asserted-by":"publisher","key":"e_1_3_2_4_2","DOI":"10.1016\/j.wneu.2022.05.031"},{"key":"e_1_3_2_5_2","article-title":"Transradial versus transfemoral access for mechanical thrombectomy: a systematic review and meta\u2010analysis","volume":"3","author":"Elfil M","year":"2023","unstructured":"Elfil M, Ghaith HS, Doheim MF, Aboutaleb PE, Romeo D, Salem MM, Aladawi M, Jankowitz BT, Burkhardt J\u2010K, Nguyen TN, et\u00a0al. Transradial versus transfemoral access for mechanical thrombectomy: a systematic review and meta\u2010analysis. Stroke. 2023;3(4):e000758.","journal-title":"Stroke."},{"doi-asserted-by":"publisher","key":"e_1_3_2_6_2","DOI":"10.1136\/neurintsurg-2021-018032"},{"key":"e_1_3_2_7_2","article-title":"Mediastinal hematoma and tracheal compression following transradial percutaneous coronary intervention","volume":"2018","author":"Smilowitz NR","year":"2018","unstructured":"Smilowitz NR, Saric M, Attubato MJ, Slater JN. Mediastinal hematoma and tracheal compression following transradial percutaneous coronary intervention. Case Rep Cardiol. 2018;2018:6790120.","journal-title":"Case Rep Cardiol"},{"doi-asserted-by":"publisher","key":"e_1_3_2_8_2","DOI":"10.1097\/MD.0000000000021205"}],"container-title":["Stroke: Vascular and Interventional Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/SVIN.124.001437","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T11:39:55Z","timestamp":1741779595000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/SVIN.124.001437"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1161\/SVIN.124.001437"],"URL":"https:\/\/doi.org\/10.1161\/svin.124.001437","relation":{},"ISSN":["2694-5746"],"issn-type":[{"type":"electronic","value":"2694-5746"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2024-04-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e001437"}}