Systemic air embolism after percutaneous transthorasic needle biopsy of the lung

被引:33
作者
Ghafoori M. [1 ]
Varedi P. [1 ]
机构
[1] Department of Radiology, Hazrat Rasoul Akram University Hospital, Iran University of Medical Sciences, Shahrara, Tehran 1445613131, Niyayesh St.
关键词
Air embolism; Complications; Lung biopsy; Transthoracic needle biopsy;
D O I
10.1007/s10140-007-0685-y
中图分类号
学科分类号
摘要
Computed tomography (CT)-guided percutaneous transthoracic biopsy of the lung is a well-established diagnostic technique, but it can pose complications to the patients. Air embolism is one of the rarest but potentially fetal complications of this procedure. The authors report a fetal case of systemic and massive air embolism to the coronary and cerebral arteries after the performance of lung biopsy. Careful reviewing of the obtained CT images during the procedure may avoid a missing systemic air embolism and can immediately provide an adequate therapy also in asymptomatic patients. This extremely rare complication is an inevitable event and may happen in spite of appropriate experience and meticulous care. © 2007 Am Soc Emergency Radiol.
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收藏
页码:353 / 356
页数:3
相关论文
共 17 条
[1]  
Lattin Jr. G., O'Brien Sr. W., McCrary B., Kearney P., Gover D., Massive systemic air embolism treated with hyperbaric oxygen therapy following CT-guided transthoracic needle biopsy of a pulmonary nodule, J Vasc Interv Radiol, 17, pp. 1355-1358, (2006)
[2]  
Chung T., Fine needle aspiration of the solitary pulmonary nodule, Semin Thorac Cardiovasc Surg, 14, pp. 275-280, (2002)
[3]  
Kodama F., Ogawa T., Hashimoto M., Tanabe Y., Suto Y., Kato T., Fatal air embolism as a complication of CT-guided needle biopsy of the lung, Comput Assist Tomogr, 23, pp. 949-951, (1999)
[4]  
Ashizawa K., Watanabe H., Morooka H., Hayashi K., Hyperbaric oxygen therapy for air embolism complicating CT-guided needle biopsy of the lung, AJR Am J Roentgenol, 182, pp. 1606-1607, (2004)
[5]  
Mokhlesi B., Ansaarie I., Bader M., Tareen M., Boatman J., Coronary artery air embolism complicating a CT-guided transthoracic needle biopsy of the lung, Chest, 121, pp. 993-996, (2002)
[6]  
Muth C.M., Shank E.S., Gas embolism, N Eng J Med, 342, pp. 476-482, (2000)
[7]  
Tovar E.A., Del Campo C., Borsari A., Webb R.P., Dell J.R., Weinstein P.B., Postoperative management of cerebral air embolism: Gas physiology for surgeons, Ann Thorac Surg, 60, pp. 1138-1142, (1995)
[8]  
Mansour A., Abdelraouf S., Qandeel M., Swaidan M., Acute coronary artery air embolism following CT-guided lung biopsy, Cardiovasc Intervent Radiol, 28, pp. 131-134, (2005)
[9]  
Smith R.M., Van Hoesen K.B., Neuman T.S., Arterial gas embolism and hemoconcentration, J Emerg Med, 12, pp. 147-153, (1994)
[10]  
Benson J., Adkinson C., Collier R.A., Hyperbaric oxygen therapy of iatrogenic cerebral arterial gas embolism, Undersea Hyperb Med, 30, pp. 117-126, (2003)