Gas Embolism Following Bronchoscopic Argon Plasma Coagulation A Case Series

被引:42
作者
Reddy, Chakravarthy [1 ]
Majid, Adnan [1 ]
Michaud, Gaetane [1 ]
Feller-Kopman, David [2 ]
Eberhardt, Ralph [3 ]
Herth, Felix [3 ]
Ernst, Armin [1 ]
机构
[1] Harvard Univ, Sch Med, Beth Israel Deaconess Med Ctr, Boston, MA 02115 USA
[2] Johns Hopkins Univ Hosp, Baltimore, MD 21287 USA
[3] Thoraxklin, Dept Pulm Med, Heidelberg, Germany
关键词
argon plasma coagulation; bronchoscopy; complication; gas embolism;
D O I
10.1378/chest.08-0474
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Thermal ablation using argon plasma coagulation (APC) is a commonly used modality in the bronchoscopic management of central airway, obstruction and hemoptysis. In experienced hands, APC is considered to be a relatively safe tool. Reported complications associated with A-PC use are rare and include hemorrhage, airway perforation, or airway fires. Systemic gas embolism has been reported with APC during laparoscopic hepatic surgeries, and we have reported one case of systemic gas embolism with cardiovascular collapse in the past. We now report the first case series of systemic, life-threatening gas embolism occurring as a complication of bronchoscopic application of APC. (CHEST 2008; 134:1066-1069)
引用
收藏
页码:1066 / 1069
页数:4
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