Systemic air embolism as a complication of percutaneous computed tomography guided transthoracic lung biopsy

被引：20
|
作者：
Ialongo, P. [1 ]
Ciarpaglini, L. [1 ]
Tinti, M. D. [2 ,3 ]
Suadoni, M. N. [3 ]
Cardillo, G. [4 ]
机构：
[1] Azienda Osped San Camillo Forlanini, Thorac Radiol Unit, Rome, Italy
[2] Azienda Osped San Camillo Forlanini, Cardiol Unit, Rome, Italy
[3] Santa Maria Dei Laici Hosp, Cardiac Rehabil Unit, Amelia, Italy
[4] Azienda Osped San Camillo Forlanini, Thorac Surg Unit, Rome, Italy
来源：
ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND | 2017年 / 99卷 / 06期
关键词：
Lung biopsy; Embolism; MYOCARDIAL-INFARCTION; NEEDLE-BIOPSY; ACUTE STROKE;
D O I：
10.1308/rcsann.2017.0091
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
A 57-year-old man underwent prone position computed tomography (CT) guided percutaneous transthoracic lung biopsy. After removal of the 18-gauge biopsy needle, the patient lost consciousness and developed shock. CT showed signs of air embolism in descending aorta and left atrium. Cardiopulmonary resuscitation was unsuccessful. A postmortem CT scan confirmed a massive air embolism in the descending aorta, left ventricle and brain. Systemic air embolism occurs in around 0.001-0.003% of lung biopsy procedures. Recommendations to reduce the risk include requesting the patient to stop breathing during the procedure and preventing the exposure of the outer cannula of a coaxial biopsy needle to the atmosphere.
引用
收藏
页码：E174 / E176
页数：3
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