Massive Cervical-Mediastinal Hematoma After Transradial Percutaneous Coronary Intervention

Mediastinal hematoma is a rare complication of transradial access during invasive coronary angiography.

We present a case of a massive cervical-mediastinal hematoma after a complex percutaneous intervention that resulted in airway compromise and prolonged mechanical ventilation.

We focus on multidisciplinary management and, given limited data in the literature, provide a pathway for a safe and efficient approach to management.

Transradial access, though safe, can lead to rare but serious vascular complications. Conservative and multidisciplinary approach management is effective when active bleeding is absent.