Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Neuroradiology
Published in: Neuroradiology 12/2005

01-12-2005 | Diagnostic Neuroradiology

Massive cerebral arterial air embolism following arterial catheterization

Authors: C. W. Yang, B. P. Yang

Published in: Neuroradiology | Issue 12/2005

Login to get access

Abstract

Microscopic cerebral arterial air embolism (CAAE) has been described in many patients undergoing cardiac surgery as well as other invasive diagnostic and therapeutic procedures. However, massive CAAE is rare. We report a 42-year-old woman who initially presented with thalamic and basal ganglia hemorrhages. Shortly after a radial arterial catheter was inserted, the patient suffered a generalized seizure and CT demonstrated intra-arterial air in bilateral cerebral hemispheres.
Literature
1.
Goldenberg I, Shupak A, Shoshani O, Boulos M (1995) Left ventriculography complicated by cerebral air embolism. Cathet Cardiovasc Diagn 35:331–334PubMed
2.
Wijman CA, Kase CS, Jacobs AK, Whitehead RE (1998) Cerebral air embolism as a cause of stroke during cardiac catheterization. Neurology 51:318–319PubMed
3.
Fessatidis I, Prapas S, Hevas A, Didilis V, Alotzeilat A, Missias G, Asteri T, Spyrou P (1991) Prevention of perioperative neurological dysfunction. A six year perspective of cardiac surgery. J Cardiovasc Surg 32:570–574
4.
Padayachee TS, Parsons S, Theobold R, Gosling RG, Deverall PB (1988) The effect of arterial filtration on reduction of gaseous microemboli in the middle cerebral artery during cardiopulmonary bypass. Ann Thorac Surg 6:647–649
5.
Akhtar N, Jafri W, Mozaffar T (2001) Cerebral artery air embolism following an esophagogastroscopy: a case report. Neurology 56:136–137PubMed
6.
Wherett CG, Mehran RJ, Beaulieu MA (2002) Cerebral arterial gas embolism following diagnostic bronchoscopy: delayed treatment with hyperbaric oxygen. Can J Anaesth 49:96–99PubMed
7.
Matjasko J, Petrozza P, Cohen M, Steinberg P (1985) Anesthesia and surgery in the seated position: analysis of 554 cases. Neurosurgery 17:695–702PubMed
8.
Cable GG, Keeble T, Wilson G (2000) Pulmonary cyst and cerebral arterial gas embolism in a hypobaric chamber: a case report. Aviat Space Environ Med 71:172–176PubMed
9.
Nadjmi M, Schaffer R, Wodarz R (1979) Cerebral arterial air embolism due to an esophago-atrial fistula seen on CT. Neuroradiology 18:103–106CrossRefPubMed
10.
Shiina G, Shimosegawa Y, Kameyama M, Onuma T (1993) Massive cerebral air embolism following cardiopulmonary resuscitation. Report of two cases. Acta Neurochir 125:181–183CrossRef
11.
Huber S, Rigler B, Machler HE, Metzler H, Smolle-Juttner FM (2000) Successful treatment of massive arterial air embolism during open heart surgery. Ann Thorac Surg 69:931–933CrossRefPubMed
12.
Dudney TM, Elliott CG (1994) Pulmonary embolism from amniotic fluid, fat, and air. Prog Cardiovasc Dis 36:447–474PubMed
13.
Chang C, Dughi J, Shitabata P, Johnson G, Coel M, McNamara JJ (1988) Air embolism and the radial arterial line. Crit Care Med 16:141–143PubMed
14.
15.
Annane D, Troche G, Delisle F, Devauchelle P, Hassine D, Paraire F, Raphael JC, Gajdos P (1995) Kinetics of elimination and acute consequences of cerebral air embolism. J Neuroimaging 5:183–189PubMed
16.
Rodriguez RA, Cornel G, Weerasena NA, Pham B, Splinter WM (2001) Effect of Trendelenburg head position during cardiac deairing on cerebral microemboli in children: a randomized controlled trial. J Thorac Cardiovasc Surg 121:3–9CrossRefPubMed
17.
Moon RE, Dear GL, Stolp BW (1999) Treatment of decompression illness and iatrogenic gas embolism. Respir Care Clin N Am 5:93–135PubMed
18.
Ziser A, Adir Y, Lavon H, Shupak A (1999) Hyperbaric oxygen therapy for massive arterial air embolism during cardiac operations. J Thorac Cardiovasc Surg 117:818–821PubMed
Metadata
Title
Massive cerebral arterial air embolism following arterial catheterization
Authors
C. W. Yang
B. P. Yang
Publication date
01-12-2005
Publisher
Springer-Verlag
Published in
Neuroradiology / Issue 12/2005
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-005-1437-x

Other articles of this Issue 12/2005

Neuroradiology 12/2005 Go to the issue

Interventional Neuroradiology

Hereditary hemorrhagic telangiectasia in children: endovascular treatment of neurovascular malformations

Interventional Neuroradiology

The relation between packing and reopening in coiled intracranial aneurysms: a prospective study

Diagnostic Neuroradiology

Lyme disease of the brainstem

Diagnostic Neuroradiology

Analysis of the brain-stem white-matter tracts with diffusion tensor imaging

Diagnostic Neuroradiology

Effect of seizure on hippocampus in mesial temporal lobe epilepsy and neocortical epilepsy: an MRS study

Diagnostic Neuroradiology

Lateral gaze disturbance due to cerebral microbleed in the medial lemniscus in the mid-pontine region: a case report