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CardioVascular and Interventional Radiology

Published in:

01-01-2019 | Case Report

Trans-Catheter Aspiration of Systemic Air Embolism Causing Cardiac Compromise During CT-Guided Lung Biopsy, a Potentially Lifesaving Maneuver

Authors: Maria El Homsi, Ali Haydar, Jad Dughayli, Aghiad Al-Kutoubi

Published in: CardioVascular and Interventional Radiology | Issue 1/2019

Abstract

Systemic artery embolism is a rare complication of CT-guided lung biopsy. Immediate clinical and radiological recognitions are crucial for rapid intervention and prevention of fatal outcome. Although hyperbaric oxygen is the suggested treatment of mildly symptomatic systemic artery embolization, aspiration of air should be considered as part of the management in cases of cardiac arrest.

Wu C, Maher M, Shepard J. Complications of CT guided percutaneous needle biopsy of the chest: prevention and management. AJR. 2011;196(6):W678e82.CrossRef

Hare S, Gupta A, Goncalves A, Souza C, Matzinger F, Seely J. Systemic arterial air embolism after percutaneous lung biopsy. Clin Radiol. 2011;66(7):589e96.CrossRef

Tomiyama N, Yasuhara Y, Nakajima Y, Adachi S, Arai Y, Kusumoto M, et al. CT-guided needle biopsy of lung lesions: a survey of severe complication based on 9783 biopsies in Japan. Eur J Radiol. 2006;59:60e4.CrossRef

Freund MC, Petersen J, Goder KC, Bunse T, Wiedermann F, Glodny B. Systemic air embolism during percutaneous core needle biopsy of the lung: frequency and risk factors. BMC Pulm Med. 2012;12:2.CrossRef

Mansour A, AbdelRaouf S, Qandeel M, Swaidan M. Acute coronary artery air embolism following CT-guided lung. Cardiovasc Intervent Radiol. 2005;28:131–4.CrossRef

Mirski MA, Lele AV, Fitzsimmons L, Toung TJ. Diagnosis and treatment of vascular air embolism. Anesthesiology. 2007;106:164–77.CrossRef

Ishii H, Hiraki T, Gobara H, Fujiwara H, Mimura H, Yasui K. Factors for systemic air embolism as a complication of percutaneous CT-guided lung biopsy: multicenter case-control study. Cardiovasc Interv Radiol. 2014;37(5):1312–20.CrossRef

Chamsuddin A, Ashou R. Treatment of massive systemic air embolism during lung biopsy. Arab J Interv Radiol. 2017;1(1):33–6.CrossRef

Colley PS, Artu AA. Bunegin-albino catheter improves air retrieval and resuscitation from lethal air embolism in up-right dogs. Anesth Analg. 1989;68:298–301.CrossRef

Title: Trans-Catheter Aspiration of Systemic Air Embolism Causing Cardiac Compromise During CT-Guided Lung Biopsy, a Potentially Lifesaving Maneuver
Authors: Maria El Homsi
Ali Haydar
Jad Dughayli
Aghiad Al-Kutoubi
Publication date: 01-01-2019
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 1/2019
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-018-2055-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Trans-Catheter Aspiration of Systemic Air Embolism Causing Cardiac Compromise During CT-Guided Lung Biopsy, a Potentially Lifesaving Maneuver

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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