Systemic arterial air embolism after percutaneous lung biopsy
Systemic arterial air embolism is a rarely encountered but much feared complication of percutaneous lung biopsy. We present a comprehensive review of iatrogenic air embolism post-lung biopsy, a complication that is often suboptimally managed. This review was inspired by our own institutional experie...
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Veröffentlicht in: | Clinical radiology 2011-07, Vol.66 (7), p.589-596 |
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creator | Hare, S.S Gupta, A Goncalves, A.T.C Souza, C.A Matzinger, F Seely, J.M |
description | Systemic arterial air embolism is a rarely encountered but much feared complication of percutaneous lung biopsy. We present a comprehensive review of iatrogenic air embolism post-lung biopsy, a complication that is often suboptimally managed. This review was inspired by our own institutional experience and we use this to demonstrate that excellent outcomes from this complication can be seen with prompt treatment using hyperbaric oxygen chamber therapy, after initial patient stabilization has been achieved. Pathophysiology, clinical features, and risk factors are reviewed and misconceptions regards venous versus arterial air embolism are examined. An algorithm is provided for radiologists to ensure suspected patients are appropriately managed with more favourable outcomes. |
doi_str_mv | 10.1016/j.crad.2011.03.005 |
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Vascular system</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Embolism, Air - diagnostic imaging</topic><topic>Embolism, Air - etiology</topic><topic>Embolism, Air - therapy</topic><topic>Humans</topic><topic>Hyperbaric Oxygenation - methods</topic><topic>Lung - pathology</topic><topic>Medical sciences</topic><topic>Radiology</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hare, S.S</creatorcontrib><creatorcontrib>Gupta, A</creatorcontrib><creatorcontrib>Goncalves, A.T.C</creatorcontrib><creatorcontrib>Souza, C.A</creatorcontrib><creatorcontrib>Matzinger, F</creatorcontrib><creatorcontrib>Seely, J.M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hare, S.S</au><au>Gupta, A</au><au>Goncalves, A.T.C</au><au>Souza, C.A</au><au>Matzinger, F</au><au>Seely, J.M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systemic arterial air embolism after percutaneous lung biopsy</atitle><jtitle>Clinical radiology</jtitle><addtitle>Clin Radiol</addtitle><date>2011-07-01</date><risdate>2011</risdate><volume>66</volume><issue>7</issue><spage>589</spage><epage>596</epage><pages>589-596</pages><issn>0009-9260</issn><eissn>1365-229X</eissn><coden>CLRAAG</coden><abstract>Systemic arterial air embolism is a rarely encountered but much feared complication of percutaneous lung biopsy. 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subjects | Arteries Biological and medical sciences Biopsy, Needle - adverse effects Blood and lymphatic vessels Cardiology. Vascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Embolism, Air - diagnostic imaging Embolism, Air - etiology Embolism, Air - therapy Humans Hyperbaric Oxygenation - methods Lung - pathology Medical sciences Radiology Tomography, X-Ray Computed - methods |
title | Systemic arterial air embolism after percutaneous lung biopsy |
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