Cerebral air embolism complicating percutaneous thin-needle biopsy of the lung: complete neurological recovery after hyperbaric oxygen therapy

Ohashi, Shintaroh; Endoh, Hiroshi; Honda, Takeshi; Komura, Noboru; Satoh, Kazunori

doi:10.1007/s005400170008

Cited by 38 publications

(36 citation statements)

References 16 publications

(30 reference statements)

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“…HBOT reduces bubble size and consequently removes occlusive bubbles and reduces endothelial damage (4). A literature review has reinforced the notion that the early application of HBOT is beneficial for patients with a cerebral air embolism (7, 8). However, delayed HBOT is probably also effective to increase the likelihood of survival and neurological recovery as the presence of air bubbles have been demonstrated up to 48 hours after the initial event (9).…”

Section: Discussionmentioning

confidence: 97%

Four Cases of a Cerebral Air Embolism Complicating a Percutaneous Transthoracic Needle Biopsy

Lee

Yang

et al. 2009

Korean J Radiol

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A percutaneous transthoracic needle biopsy is a common procedure in the practice of pulmonology. An air embolism is a rare but potentially fatal complication of a percutaneous transthoracic needle biopsy. We report four cases of a cerebral air embolism that developed after a percutaneous transthoracic needle biopsy. Early diagnosis and the rapid application of hyperbaric oxygen therapy is the mainstay of therapy for an embolism. Prevention is the best course and it is essential that possible risk factors be avoided.

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Section: Discussionmentioning

confidence: 97%

Four Cases of a Cerebral Air Embolism Complicating a Percutaneous Transthoracic Needle Biopsy

Lee

Yang

et al. 2009

Korean J Radiol

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“…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%

“…The postprocedural CT scan of the entire thorax, rather than just the target area of the biopsy, was essential in order to provide a definitive diagnosis and to detect evidence of air density in the pulmonary vein, left atrium and ventricle and systemic circulation (7). We propose that a CT scan of the brain be considered whenever manifestations of cerebral abnormalities occur during or following lung biopsy.…”

Section: Discussionmentioning

confidence: 99%

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

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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.

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“…A few studies present that puncturing the lung parenchyma during the insertion of the chest tube can facilitate a gas bubble entry to the pulmonary venous system. The needle can directly puncture the pulmonary vein and expose it to the atmosphere, which has a pressure that greatly exceeds that of the pulmonary venous system [8–10]. In other cases, gas may enter the venous system from the nearby air-containing space when the needle penetrates both the air space and the vein.…”

Section: Discussionmentioning

confidence: 99%

Systemic Air Embolism Associated with Pleural Pigtail Chest Tube Insertion

Alkhankan

Nusair

Mazagri

et al. 2016

Case Reports in Pulmonology

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Pleural pigtail catheter placement is associated with many complications including pneumothorax, hemorrhage, and chest pain. Air embolism is a known but rare complication of pleural pigtail catheter insertion and has a high risk of occurrence with positive pressure ventilation. In this case report, we present a 50-year-old male with bilateral pneumonia who developed a pneumothorax while on mechanical ventilation with continuous positive airway pressure mode. During the placement of the pleural pigtail catheter to correct the pneumothorax, the patient developed a sudden left sided body weakness and became unresponsive. An air embolism was identified in the right main cerebral artery, which was fatal.

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Cerebral air embolism complicating percutaneous thin-needle biopsy of the lung: complete neurological recovery after hyperbaric oxygen therapy

Cited by 38 publications

References 16 publications

Four Cases of a Cerebral Air Embolism Complicating a Percutaneous Transthoracic Needle Biopsy

Four Cases of a Cerebral Air Embolism Complicating a Percutaneous Transthoracic Needle Biopsy

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

Systemic Air Embolism Associated with Pleural Pigtail Chest Tube Insertion

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