Air embolism complicating computed tomography-guided core needle biopsy of the lung

Wu, Yueh-Feng; Huang, Tsai-Wang; Kao, Chung-Cheng

doi:10.1093/icvts/ivr116

Cited by 12 publications

(7 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The causes of systemic arterial air embolism may include biopsy of cavitary or vascular inflammatory lesions (such as ground glass), coughing, and positive‐pressure ventilation. Patients may be asymptomatic if the amount of air entering the chambers on the left side of the heart is relatively small, and cause no significant effect on hemodynamics . In coronary air embolism, patients may experience a transient loss of consciousness and their electrocardiography may reflect myocardial ischemia .…”

Section: Biopsy Proceduresmentioning

confidence: 99%

See 1 more Smart Citation

Chinese multidisciplinary expert consensus: Guidelines on percutaneous transthoracic needle biopsy

Guo

Shi

et al. 2018

Thoracic Cancer

View full text Add to dashboard Cite

Biopsy has been used to diagnose thoracic diseases for more than a century. Percutaneous needle biopsy plays a crucial role in the diagnosis, staging, and treatment planning for tumors in the lungs, thoracic wall, hilum, and mediastinum. With the continuous improvement in imaging techniques, the range of clinical applications for percutaneous needle biopsy is also expanding. It has become important to improve Chinese professionals’ and technicians’ understanding of percutaneous transthoracic needle biopsy (PTNB) in order to standardize operating procedures and to strengthen perioperative management. However, there is currently no Chinese expert consensus that provides systematic standardization and guidance for PTNB in clinical practice. The Committee of Chinese Society of Interventional Oncology (CSIO) of the Chinese Anti‐Cancer Association (CACA) initiated a Chinese multidisciplinary expert consensus on PTNB. The consensus includes image‐guided methods, indications, contraindications, multidisciplinary team recommendations, biopsy procedures, daytime/outpatient biopsy, complications, pathological examination, and management of negative results.

show abstract

Section: Biopsy Proceduresmentioning

confidence: 99%

“…In intracranial air embolism, patients may experience seizures or loss of consciousness . CT scans can reveal the gas in the organs or blood vessels with embolism, which may serve as objective evidence for the diagnosis of air embolism …”

Section: Biopsy Proceduresmentioning

confidence: 99%

Chinese multidisciplinary expert consensus: Guidelines on percutaneous transthoracic needle biopsy

Guo

Shi

et al. 2018

Thoracic Cancer

View full text Add to dashboard Cite

show abstract

“…[4][5][6] In most cases, a minimal air embolism was asymptomatic. 7 To our knowledge, this is the only case of a sudden death from a massive air embolism of the aorta and left ventricle following a CT-guided transthoracic lung biopsy.…”

Section: Discussionmentioning

confidence: 78%

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

Ialongo

Ciarpaglini

Tinti

et al. 2017

annals

View full text Add to dashboard Cite

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.

show abstract

“…The characteristics of symptomatic air embolism, based on the present and previously reported cases, are summarized in the following section (3,(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). In the majority of cases, the clinical symptoms of air embolism occur either during or immediately following needle biopsy.…”

Section: Discussionmentioning

confidence: 95%

Systemic air embolism as a complication of CT-guided percutaneous core needle lung biopsy: A case report and review of the literature

Sun

Bian

Sheng-yuan

et al. 2015

Experimental and Therapeutic Medicine

View full text Add to dashboard Cite

Abstract.Computed tomography (CT)-guided percutaneous core needle biopsy (PCNB) of the lung is a widely accepted and frequently performed interventional radiological procedure for the diagnosis of various pulmonary lesions. Common complications are usually mild and self-limited; however, air embolism is an extremely rare but potentially fatal complication. This study reports a case of fatal air embolism in the coronary and spinal arteries that resulted from a complex CT-guided PCNB of the lung. The present case suggests that multiple precautions may not eliminate the risk of the fatal air embolism resulting from the procedure of CT-guided PCNB. Prompt recognition and urgent resuscitation are crucial for initial stabilization, allowing subsequent diagnostic confirmation and appropriate treatment. The common characteristics of symptomatic air embolism, based on the case reported and a review of the literature, are summarized in the present study in order to provide recommendations for clinical practice.

show abstract

Air embolism complicating computed tomography-guided core needle biopsy of the lung

Cited by 12 publications

References 5 publications

Chinese multidisciplinary expert consensus: Guidelines on percutaneous transthoracic needle biopsy

Chinese multidisciplinary expert consensus: Guidelines on percutaneous transthoracic needle biopsy

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

Systemic air embolism as a complication of CT-guided percutaneous core needle lung biopsy: A case report and review of the literature

Contact Info

Product

Resources

About