Nontraumatic postmortem computed tomographic demonstration of cerebral gas embolism following cardiopulmonary resuscitation
Purpose The aim of this study was to investigate cerebral gas embolism (GE) on nontraumatic postmortem CT (PMCT), regarding its frequency, location (arterial or venous), and causes. Materials and methods Our subjects were 404 nontraumatically deceased patients who had been in a state of cardiopulmon...
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| Veröffentlicht in: | Japanese Journal of Radiology 2010-01, Vol.28 (1), p.1-7 |
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| creator | Shiotani, Seiji Ueno, Yukihiro Atake, Shigeru Kohno, Mototsugu Suzuki, Masatsune Kikuchi, Kazunori Hayakawa, Hideyuki |
| description | Purpose
The aim of this study was to investigate cerebral gas embolism (GE) on nontraumatic postmortem CT (PMCT), regarding its frequency, location (arterial or venous), and causes.
Materials and methods
Our subjects were 404 nontraumatically deceased patients who had been in a state of cardiopulmonary arrest on arrival at our emergency room. PMCT was performed within 2 h of the confirmation of death.
Results
Cardiopulmonary resuscitation (CPR) was performed on 387 of the 404 subjects; and of these, cerebral GE was detected in 29 (7.5%) subjects (3 arterial, 25 venous, 1 undeterminable). Cerebral GE was not noted in the other 17 of the 404 subjects who did not undergo CPR. However, there was no significant difference in the incidence of cerebral GE between the subjects who underwent CPR and those who did not. The mechanism of cerebral arterial GE was presumed due to pulmonary barotrauma and/or paradoxical embolism, while the thoracic pump theory was suggested to explain the cerebral venous GE.
Conclusion
Cerebral arterial/venous GE is found in CPR cases on nontraumatic PMCT. |
| doi_str_mv | 10.1007/s11604-009-0372-x |
| format | Article |
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The aim of this study was to investigate cerebral gas embolism (GE) on nontraumatic postmortem CT (PMCT), regarding its frequency, location (arterial or venous), and causes.
Materials and methods
Our subjects were 404 nontraumatically deceased patients who had been in a state of cardiopulmonary arrest on arrival at our emergency room. PMCT was performed within 2 h of the confirmation of death.
Results
Cardiopulmonary resuscitation (CPR) was performed on 387 of the 404 subjects; and of these, cerebral GE was detected in 29 (7.5%) subjects (3 arterial, 25 venous, 1 undeterminable). Cerebral GE was not noted in the other 17 of the 404 subjects who did not undergo CPR. However, there was no significant difference in the incidence of cerebral GE between the subjects who underwent CPR and those who did not. The mechanism of cerebral arterial GE was presumed due to pulmonary barotrauma and/or paradoxical embolism, while the thoracic pump theory was suggested to explain the cerebral venous GE.
Conclusion
Cerebral arterial/venous GE is found in CPR cases on nontraumatic PMCT.</description><identifier>ISSN: 1867-1071</identifier><identifier>EISSN: 1862-5274</identifier><identifier>EISSN: 1867-108X</identifier><identifier>DOI: 10.1007/s11604-009-0372-x</identifier><identifier>PMID: 20112086</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Brain - diagnostic imaging ; Cardiopulmonary Resuscitation - methods ; Child ; Child, Preschool ; Embolism, Air - diagnostic imaging ; Female ; Heart Arrest - therapy ; Humans ; Imaging ; Infant ; Infant, Newborn ; Intracranial Embolism - diagnostic imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; Original Article ; Postmortem Changes ; Radiology ; Radiotherapy ; Tomography, X-Ray Computed - methods ; Young Adult</subject><ispartof>Japanese Journal of Radiology, 2010-01, Vol.28 (1), p.1-7</ispartof><rights>Japan Radiological Society 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c492t-88f16649f1f26623025cb6df492c5ec6e2ee875040844fcd31a91df4692c39e13</citedby><cites>FETCH-LOGICAL-c492t-88f16649f1f26623025cb6df492c5ec6e2ee875040844fcd31a91df4692c39e13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11604-009-0372-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11604-009-0372-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20112086$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shiotani, Seiji</creatorcontrib><creatorcontrib>Ueno, Yukihiro</creatorcontrib><creatorcontrib>Atake, Shigeru</creatorcontrib><creatorcontrib>Kohno, Mototsugu</creatorcontrib><creatorcontrib>Suzuki, Masatsune</creatorcontrib><creatorcontrib>Kikuchi, Kazunori</creatorcontrib><creatorcontrib>Hayakawa, Hideyuki</creatorcontrib><title>Nontraumatic postmortem computed tomographic demonstration of cerebral gas embolism following cardiopulmonary resuscitation</title><title>Japanese Journal of Radiology</title><addtitle>Jpn J Radiol</addtitle><addtitle>Jpn J Radiol</addtitle><description>Purpose
The aim of this study was to investigate cerebral gas embolism (GE) on nontraumatic postmortem CT (PMCT), regarding its frequency, location (arterial or venous), and causes.
Materials and methods
Our subjects were 404 nontraumatically deceased patients who had been in a state of cardiopulmonary arrest on arrival at our emergency room. PMCT was performed within 2 h of the confirmation of death.
Results
Cardiopulmonary resuscitation (CPR) was performed on 387 of the 404 subjects; and of these, cerebral GE was detected in 29 (7.5%) subjects (3 arterial, 25 venous, 1 undeterminable). Cerebral GE was not noted in the other 17 of the 404 subjects who did not undergo CPR. However, there was no significant difference in the incidence of cerebral GE between the subjects who underwent CPR and those who did not. The mechanism of cerebral arterial GE was presumed due to pulmonary barotrauma and/or paradoxical embolism, while the thoracic pump theory was suggested to explain the cerebral venous GE.
Conclusion
Cerebral arterial/venous GE is found in CPR cases on nontraumatic PMCT.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Brain - diagnostic imaging</subject><subject>Cardiopulmonary Resuscitation - methods</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Embolism, Air - diagnostic imaging</subject><subject>Female</subject><subject>Heart Arrest - therapy</subject><subject>Humans</subject><subject>Imaging</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Intracranial Embolism - diagnostic imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>Original Article</subject><subject>Postmortem Changes</subject><subject>Radiology</subject><subject>Radiotherapy</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Young Adult</subject><issn>1867-1071</issn><issn>1862-5274</issn><issn>1867-108X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkc1rFTEUxYNYbK3-Ad1IcNPV2HxNPpal9EMoutF1yMvcPKdMJmOSwSf-86Z9tUhBXN3A-Z1zuTkInVDygRKizgqlkoiOENMRrli3e4GOqJas65kSLx_eqqNE0UP0upQ7QgQXWr5Ch4xQyoiWR-jXpzTX7Nbo6ujxkkqNKVeI2Ke4rBUGXFNM2-yWb00fIKa5NL6OacYpYA8ZNtlNeOsKhrhJ01giDmma0o9x3mLv8jCmZZ2az-WfOENZix_rQ8AbdBDcVODt4zxGX68uv1zcdLefrz9enN92XhhWO60DlVKYQAOTknHCer-RQ2ii78FLYABa9UQQLUTwA6fO0CbLpnMDlB-j033uktP3FUq1cSwepsnNkNZileiNEtyQ_5OcayOlNI18_4y8S2ue2xmWGsU4N5o3iO4hn1MpGYJd8hjbP1hK7H2Ddt-gbQ3a-wbtrnnePQavmwjDk-NPZQ1ge6A0ad5C_mvzP1N_AwPHqcQ</recordid><startdate>20100101</startdate><enddate>20100101</enddate><creator>Shiotani, Seiji</creator><creator>Ueno, Yukihiro</creator><creator>Atake, Shigeru</creator><creator>Kohno, Mototsugu</creator><creator>Suzuki, Masatsune</creator><creator>Kikuchi, Kazunori</creator><creator>Hayakawa, Hideyuki</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TK</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20100101</creationdate><title>Nontraumatic postmortem computed tomographic demonstration of cerebral gas embolism following cardiopulmonary resuscitation</title><author>Shiotani, Seiji ; Ueno, Yukihiro ; Atake, Shigeru ; Kohno, Mototsugu ; Suzuki, Masatsune ; Kikuchi, Kazunori ; Hayakawa, Hideyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c492t-88f16649f1f26623025cb6df492c5ec6e2ee875040844fcd31a91df4692c39e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Brain - diagnostic imaging</topic><topic>Cardiopulmonary Resuscitation - methods</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Embolism, Air - diagnostic imaging</topic><topic>Female</topic><topic>Heart Arrest - therapy</topic><topic>Humans</topic><topic>Imaging</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Intracranial Embolism - diagnostic imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>Original Article</topic><topic>Postmortem Changes</topic><topic>Radiology</topic><topic>Radiotherapy</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shiotani, Seiji</creatorcontrib><creatorcontrib>Ueno, Yukihiro</creatorcontrib><creatorcontrib>Atake, Shigeru</creatorcontrib><creatorcontrib>Kohno, Mototsugu</creatorcontrib><creatorcontrib>Suzuki, Masatsune</creatorcontrib><creatorcontrib>Kikuchi, Kazunori</creatorcontrib><creatorcontrib>Hayakawa, Hideyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese Journal of Radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shiotani, Seiji</au><au>Ueno, Yukihiro</au><au>Atake, Shigeru</au><au>Kohno, Mototsugu</au><au>Suzuki, Masatsune</au><au>Kikuchi, Kazunori</au><au>Hayakawa, Hideyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nontraumatic postmortem computed tomographic demonstration of cerebral gas embolism following cardiopulmonary resuscitation</atitle><jtitle>Japanese Journal of Radiology</jtitle><stitle>Jpn J Radiol</stitle><addtitle>Jpn J Radiol</addtitle><date>2010-01-01</date><risdate>2010</risdate><volume>28</volume><issue>1</issue><spage>1</spage><epage>7</epage><pages>1-7</pages><issn>1867-1071</issn><eissn>1862-5274</eissn><eissn>1867-108X</eissn><abstract>Purpose
The aim of this study was to investigate cerebral gas embolism (GE) on nontraumatic postmortem CT (PMCT), regarding its frequency, location (arterial or venous), and causes.
Materials and methods
Our subjects were 404 nontraumatically deceased patients who had been in a state of cardiopulmonary arrest on arrival at our emergency room. PMCT was performed within 2 h of the confirmation of death.
Results
Cardiopulmonary resuscitation (CPR) was performed on 387 of the 404 subjects; and of these, cerebral GE was detected in 29 (7.5%) subjects (3 arterial, 25 venous, 1 undeterminable). Cerebral GE was not noted in the other 17 of the 404 subjects who did not undergo CPR. However, there was no significant difference in the incidence of cerebral GE between the subjects who underwent CPR and those who did not. The mechanism of cerebral arterial GE was presumed due to pulmonary barotrauma and/or paradoxical embolism, while the thoracic pump theory was suggested to explain the cerebral venous GE.
Conclusion
Cerebral arterial/venous GE is found in CPR cases on nontraumatic PMCT.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>20112086</pmid><doi>10.1007/s11604-009-0372-x</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 1867-1071 |
| ispartof | Japanese Journal of Radiology, 2010-01, Vol.28 (1), p.1-7 |
| issn | 1867-1071 1862-5274 1867-108X |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Aged Aged, 80 and over Brain - diagnostic imaging Cardiopulmonary Resuscitation - methods Child Child, Preschool Embolism, Air - diagnostic imaging Female Heart Arrest - therapy Humans Imaging Infant Infant, Newborn Intracranial Embolism - diagnostic imaging Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine Original Article Postmortem Changes Radiology Radiotherapy Tomography, X-Ray Computed - methods Young Adult |
| title | Nontraumatic postmortem computed tomographic demonstration of cerebral gas embolism following cardiopulmonary resuscitation |
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