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Updated: Oct 28, 2025
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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
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Hypotension, Tachypnea, and Stridor Following Radial PCI: Solving the Conundrum
Anindya Ghosh1, Krishnarpan Chatterjee2, Roopali Khanna1
1Department of Cardiology, Sanjay Gandhi PGIMS, Lucknow, Uttar Pradesh, India.
Summary
Radial percutaneous coronary intervention (PCI) can lead to rare but serious complications like large hematomas. Early recognition and conservative management are key for these rare intrathoracic bleeding events.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- The radial artery is a common access site for percutaneous coronary intervention (PCI).
- While generally safe, radial access carries risks of vascular complications.
Observation:
- A 60-year-old female developed a large mediastinal and retro-left-atrial hematoma after right radial access PCI.
- The complication was suspected to be from subclavian artery injury, causing tracheal compression and stridor.
Findings:
- The patient presented with symptoms of tracheal compression and stridor.
- Conservative management including hemodynamic monitoring, echocardiography, inotropic support, and blood transfusions was successful.
Implications:
- Vascular injury during transradial PCI can result in delayed and challenging-to-diagnose intrathoracic hematomas.
- Management decisions for such complications require careful consideration of the patient's clinical status and imaging findings.
Keywords:
Complicationshypotensionposterior mediastinal hematomasubclavian arterial injurytransradial percutaneous coronary interventionMore Related Videos
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