Coronary air embolism treated by bubble aspiration

Solodky, Alejandro; Birnbaum, Yochai; Assali, Abid; Gal, Tuvia Ben; Strasberg, Boris; Herz, Itzhak

doi:10.1002/(sici)1522-726x(200004)49:4<452::aid-ccd23>3.0.co;2-i

Cited by 20 publications

(10 citation statements)

References 5 publications

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“…When small to moderate amounts of air are involved, inhalation of 100% oxygen is appropriate since oxygen facilitates the absorption of the air embolus through the microcirculation. When large amounts of air are involved, more aggressive modalities, including air aspiration and forceful injection of saline or contrast medium are suggested (2,3,6,7). Previously, stirring the mass of air using a 0.014-inch guidewire and balloon catheter for coronary angioplasty has also been suggested, which worked by breaking up the larger air mass into a number of smaller bubbles to increase the surface area (4).…”

Section: Discussionmentioning

confidence: 99%

Massive right coronary air embolism in the right coronary artery during left coronary angiography: A case report

Park¹,

Hwang²,

Cho³

et al. 2013

Experimental and Therapeutic Medicine

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Section: Discussionmentioning

confidence: 99%

Massive right coronary air embolism in the right coronary artery during left coronary angiography: A case report

Park¹,

Hwang²,

Cho³

et al. 2013

Experimental and Therapeutic Medicine

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“…Despite these measures, within published case reports there is a mortality rate as high as 22% 3 11. For cardiac arterial air embolism, direct aspiration has been applied, with some promising results 12 13. To the authors' knowledge, there have been no reported cases of endovascular aspiration in the treatment of patients with intracranial air embolism.…”

Section: Discussionmentioning

confidence: 99%

Republished: Paradoxical cerebral air embolism causing large vessel occlusion treated with endovascular aspiration

Belton

Nanda

Alqadri

et al. 2016

J NeuroIntervent Surg

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Cerebral air embolism is a dreaded complication of invasive medical procedures. The mainstay of therapy for patients with cerebral air embolism has been hyperbaric oxygen therapy, high flow oxygen therapy, and anticonvulsants. We present a novel therapeutic approach for treatment of cerebral air embolism causing large vessel occlusion, using endovascular aspiration. Our patient developed a cerebral air embolism following sclerotherapy for varicose veins. This caused near total occlusion of the superior division of the M2 segment of the right middle cerebral artery. Symptoms included unilateral paralysis, unintelligible speech, and hemianopia; National Institutes of Health Stroke Scale (NIHSS) on presentation was 16. The air embolism was treated using a distal aspiration technique. Angiography following aspiration showed Thrombolysis in Cerebral Infarction 2B reperfusion. Following aspiration, the patient was re-examined; NIHSS at that time was 4. At 1 month follow-up, the modified Rankin Scale score was 1 and NIHSS was 1. Treatment of cerebral air embolism is discussed.

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“…Improvement of coronary slow flow can be accomplished by the treatment of vasospasm with intracoronary adenosine, nitroprusside, and calcium channel blockers such as nicardipine. Finally, bubble aspiration with thrombectomy catheters (Export, Diver, and Pronto catheters) or over‐the‐wire balloon catheters has been described in the literature to successfully achieve direct bubble extraction [10, 11].…”

Section: Discussionmentioning

confidence: 99%