Nonfatal air embolism complicating percutaneous CT-guided lung biopsy and VATS marking: Four cases from a single institution

被引:13
作者
Yoshida, Rika [1 ]
Yoshizako, Takeshi [1 ]
Nakamura, Megumi [1 ]
Ando, Shinji [1 ]
Maruyama, Mitsunari [1 ]
Maruyama, Minako [1 ]
Takinami, Yoshikazu [2 ]
Tamaki, Yukihisa [3 ]
Nakamura, Tomonori [4 ]
Kitagaki, Hajime [1 ]
机构
[1] Shimane Univ, Dept Radiol, Fac Med, 89-1 Enya Cho, Izumo, Shimane 6938501, Japan
[2] Shimane Univ, Dept Emergency, Fac Med, Izumo, Shimane, Japan
[3] Shimane Univ, Dept Radiat Oncol, Fac Med, Izumo, Shimane, Japan
[4] Matsue Seikyo Hosp, Dept Radiol, Matsue, Shimane, Japan
关键词
Air embolism; Nonfatal air embolism; Computed tomography; Percutaneous CT-guided lung biopsy; Video-assisted thoracoscopic surgery (VATS) marking; TRANSTHORACIC NEEDLE-BIOPSY; RISK-FACTORS; CANCER;
D O I
10.1016/j.clinimag.2017.10.010
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Systemic air emboli occur as a rare complication of percutaneous needle biopsy of the lung and video-assisted thoracoscopic surgery (VATS) marking. Here we present four cases of systemic air emboli from single institution and the imaging findings and embolism' kinetics using contrast-enhanced media during VATS color marking with indocyanine green. We suggest that early detection using routine whole-lung CT is required for asymptomatic patients with abnormal air. If abnormal air is found, we should keep the patient to the appropriate posture in order to prevent moving the air until it dissipates. Early detection of abnormal air can prevent severe complications.
引用
收藏
页码:127 / 130
页数:4
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