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
Hauptverfasser: Hare, S.S, Gupta, A, Goncalves, A.T.C, Souza, C.A, Matzinger, F, Seely, J.M
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container_end_page 596
container_issue 7
container_start_page 589
container_title Clinical radiology
container_volume 66
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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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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