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首页> 外文期刊>Case Reports in Cardiology >Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary Intervention
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Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary Intervention

机译：经radi动脉经皮冠状动脉介入治疗后的纵隔血肿和气管压迫

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摘要

Vascular complications from transradial percutaneous coronary intervention (PCI) are rare. We report an unusual case of stridor after PCI due to brachiocephalic artery perforation, pseudoaneurysm formation, and development of a large mediastinal hematoma with tracheal compression. Endovascular repair of the brachiocephalic artery was achieved with covered stent placement at the neck of the pseudoaneurysm. This case highlights the importance of careful guide catheter placement from the right radial approach. Ultimately, rapid diagnosis of vascular perforation, appropriate airway management, and prompt endovascular repair of the injured vessel is critical to the successful management of this life-threatening condition.
机译：经radi动脉经皮冠状动脉介入治疗（PCI）引起的血管并发症很少。我们报告了由于头臂动脉穿孔，假性动脉瘤形成以及伴有气管压迫的大纵隔血肿的发展，PCI后出现支气管哮喘的罕见病例。通过在假性动脉瘤的颈部覆盖支架，可以实现头臂动脉的血管内修复。这种情况凸显了从正确的径向入路小心放置引导导管的重要性。最终，快速诊断血管穿孔，适当的气道管理以及对受损血管进行及时的血管内修复对于成功控制这种威胁生命的状况至关重要。

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