Mediastinal hemorrhage as a complication of retrograde brachial angiography
Ichikawa, M.; Watanabe, K.; Okada, T.; Matsumura, K.
Nihon Geka Hokan. Archiv für Japanische Chirurgie 55(6): 783-788
1986
ISSN/ISBN: 0003-9152 PMID: 3606303 Document Number: 279356
Mediastinal hemorrhage with extravasation of the contrast medium occurred as a complication of retrograde brachial angiography in a 71-year-old female. Immediately after a manual injection of the contrast medium, the patient complained of severe chest pain and the chest X-ray showed a picture not unlike a dissecting aneurysm of the aorta. Dissection of the aorta was excluded by follow-up radiologic studies. Transfemoral manipulation of a guide wire and/or a catheter prior to the retrograde brachial injection was assumed to have caused intimal damage in the brachiocephalic artery.