Systemic arterial air embolism after percutaneous lung biopsy

Hare, S.S.; Gupta, Ashish; Gonçalves, Álvaro; Souza, Carolina A.; Matzinger, Frederick R. K.; Seely, Jean M.

doi:10.1016/j.crad.2011.03.005

Cited by 77 publications

(77 citation statements)

References 32 publications

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“…Of these, one paper, whose results are included in another and four other papers, in which patient positioning is not mentioned or visible at all, were excluded, resulting in 41 publications [2–6, 10–45]. With our own case report included, a total of 42 papers were analysed.…”

Section: Resultsmentioning

confidence: 99%

“…Systemic air embolism is a feared and potentially fatal complication but with very low reported incidences ranging from 0,001% to 0,003% according to publications dealing with greater series of biopsies [1, 2]. Statistically, most radiologists performing percutaneous lung biopsies will never have to deal with this complication.…”

Section: Introductionmentioning

confidence: 99%

“…Risk factors for systemic air embolism have been speculated, postulated, and reported; these include use of a coaxial biopsy system, number of biopsies, needle path through a longer distance of ventilated lung, coughing during the procedure, positive pressure ventilation, location of lesion in the lower lobes or lower parts of the lung, location of the lesion above the level of the left atrium, vasculitis, and small or cavitary lesions with some of these being influenceable or even avoidable and others not [2–9]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Influenceable and Avoidable Risk Factors for Systemic Air Embolism due to Percutaneous CT-Guided Lung Biopsy: Patient Positioning and Coaxial Biopsy Technique—Case Report, Systematic Literature Review, and a Technical Note

Rott¹,

Boecker²

2014

Radiology Research and Practice

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Following the first case of a systemic air embolism due to percutaneous CT-guided lung biopsy in our clinic we analysed the literature regarding this matter in view of influenceable or avoidable risk factors. A systematic review of literature reporting cases of systemic air embolism due to CT-guided lung biopsy was performed to find out whether prone positioning might be a risk factor regarding this issue. In addition, a technical note concerning coaxial biopsy practice is presented. Prone position seems to have relevance for the development and/or clinical manifestation of air embolism due to CT-guided lung biopsy and should be considered a risk factor, at least as far as lesions in the lower parts of the lung are concerned. Biopsies of small or cavitary lesions in coaxial technique should be performed using a hemostatic valve.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Influenceable and Avoidable Risk Factors for Systemic Air Embolism due to Percutaneous CT-Guided Lung Biopsy: Patient Positioning and Coaxial Biopsy Technique—Case Report, Systematic Literature Review, and a Technical Note

Rott¹,

Boecker²

2014

Radiology Research and Practice

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“…The incidence ranges from 0.02% to 0.5%. [1][2][3] Coughing during the procedure, cystic or cavitary lesion, positive pressure ventilation and needle-tip placement through a pulmonary vein are the most common predisposing factors. The management involves high-flow 100% oxygen and early hyperbaric oxygen therapy.…”

mentioning

confidence: 99%

Cerebral air embolism during CT-guided lung biopsy

Rocha

Azevedo

Falsarella

et al. 2015

Thorax

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“…1 Systemic air embolism is an extremely rare and feared complication that is potentially fatal, reported previously to have an incidence of ≈0.02% to 0.7%. 2 However, it can be assumed that there is a much higher incidence of systemic air embolism because of clinically unapparent cases (0.4% to 3.8%). 3,4 Systemic arterial air embolism is caused by the entry of gas into the pulmonary veins or directly into the arteries of the systemic circulation.…”

mentioning

confidence: 99%