Cerebral Air Embolism After CT-guided Lung Biopsy: A Case of Early Diagnosis and Successful Treatment

Piccoli, F; Lanza, Ezio; Lutman, Fabio Romano

doi:10.1016/j.arbres.2019.04.003

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Of other treatment modalities that are described are therapeutic hypothermia 20 , 21 and cardiac catheterization, 22 see supplementary 2 for overview of treatment strategies for each specific case.…”

Section: Resultsmentioning

confidence: 99%

Systemic air embolism following computed-tomography-guided transthoracic needle biopsy of lung lesion – a systematic search of case reports and case series

Pietersen

Kristjánsdóttir

Laursen

et al. 2022

Acta Radiologica Open

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Background Systemic air embolism is a rare, however potentially fatal, low incidence, complication to CT-guided transthoracic needle biopsy of lung lesions. Purpose The purpose of this review of case reports and series was to pool data about this rare complication and glance for a pattern or similarities in the patients’ initial symptoms and course, as well as the management of the patients in relation to current guidelines. Material and methods PubMed was searched for case reports and case series about systemic air embolisms following CT-guided transthoracic needle biopsy of lung lesions from inception to November 2021. A reviewer screened the results for eligibility and included studies which reported at least two outcomes of interest. Data was extracted by one author and a descriptive analysis was conducted. Results Of 1,136 studies screened, 83 were eligible for inclusion involving 97 patients. The mean age was 64.8±11.7 years and ≈60% of the patients were men. In 15 cases the outcome was fatal, and most of the fatal cases ( n = 12) had cardiac arrest as the primary initial symptom. In addition to conventional oxygen therapy, 34 patients received hyperbaric oxygen therapy, and in 30 cases the physician in charge chose to change the patient from standard supine position to – most often – Trendelenburg position. Conclusion No similarities were found that could lead to more rapid diagnosis or more correct management. The staff should keep systemic air embolisms in mind, when more common complications are ruled out, and consider hyperbaric oxygen therapy in case of suspicion.

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Section: Resultsmentioning

confidence: 99%

Systemic air embolism following computed-tomography-guided transthoracic needle biopsy of lung lesion – a systematic search of case reports and case series

Pietersen

Kristjánsdóttir

Laursen

et al. 2022

Acta Radiologica Open

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Case report: Systemic air embolism after percutaneous microwave ablation of an unresectable metastatic lung lesion

Tang,

Zhu,

Yang

et al. 2024

Front. Oncol.

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Systemic air embolism, though rare, poses a significant risk as a complication of CT-guided lung lesion ablation. This condition often arises from the formation of a transient bronchovascular fistula, which can occur when a needle punctures the lung or accidentally breaches a pulmonary vein. In this report, we present a case involving acute cerebral infarction resulting from retrograde venous embolism linked to a fistula between the pleural cavity and pulmonary artery after pulmonary ablation. The patient demonstrated clear signs and symptoms but ultimately recovered fully and was discharged without lasting effects. This case underscores the critical need for ongoing vigilance and proactive measures to prevent air embolism during such medical procedures.

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Cerebral Air Embolism After CT-guided Lung Biopsy: A Case of Early Diagnosis and Successful Treatment

Cited by 2 publications

References 8 publications

Systemic air embolism following computed-tomography-guided transthoracic needle biopsy of lung lesion – a systematic search of case reports and case series

Systemic air embolism following computed-tomography-guided transthoracic needle biopsy of lung lesion – a systematic search of case reports and case series

Case report: Systemic air embolism after percutaneous microwave ablation of an unresectable metastatic lung lesion

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