Angiographic Evidence of a Wire-Induced Perforation Causing Hematoma

Video Supplement to “A Hydrophilic-Wire Induced Vascular Perforation Causing Mediastinal Hematoma During Transradial Coronary Intervention" [May 2019 Clinical Images article by Guo and Song].

This is the first reported case of evidence of a hydrophilic wire traveling into a small branch and inducing perforation; this case highlights the need for fluoroscopically guided hydrophilic wire manipulation. Prompt treatment of such perforations is the best course of action.

Read the accompanying article here