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December 2, 2025Clinical Case ReportsOpen Access

Right Internal Mammary Artery Perforation and Large Mediastinal Hematoma Formation as a Complication of Radial Access Coronary Angiography: A Case Report

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Authors

AAArmin AttarShiraz University of Medical Sciences

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Implication

Case report demonstrates RIMA perforation during coronary angiography in a 75-year-old woman, suggesting early recognition and intervention are vital.

Key Points

RIMA perforation was identified as a rare complication during coronary angiography, requiring urgent intervention.
The patient had severe left ventricular dysfunction, and subsequent CT angiography confirmed serious hematoma formation.
An analysis during this incident involved the use of a covered stent after balloon tamponade failed, showcasing a lifesaving approach.
This case underscores the importance of vigilance during transradial procedures to identify and manage complications promptly.

Cite This Study

Armin Attar (2025) studied this question.

synapsesocial.com/papers/692e3da16c9b3ab28c187d6a https://doi.org/10.1002/ccr3.71533

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Implication

Case report demonstrates RIMA perforation during coronary angiography in a 75-year-old woman, suggesting early recognition and intervention are vital.

Right Internal Mammary Artery Perforation and Large Mediastinal Hematoma Formation as a Complication of Radial Access Coronary Angiography: A Case Report

Discussion

Member takes

Implication

Key Points

Cite This Study

Right Internal Mammary Artery Perforation and Large Mediastinal Hematoma Formation as a Complication of Radial Access Coronary Angiography: A Case Report

Discussion

Member takes

Implication

Key Points

Cite This Study

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