[KSCI] Korea Science Citation Index Service

http://dx.doi.org/10.3348/kjr.2009.10.1.81

Four Cases of a Cerebral Air Embolism Complicating a Percutaneous Transthoracic Needle Biopsy

Um, Soo-Jung (Department of Internal Medicine, Dong-A University College of Medicine)
Lee, Soo-Keol (Department of Internal Medicine, Dong-A University College of Medicine)
Yang, Doo-Kyung (Department of Internal Medicine, Dong-A University College of Medicine)
Son, Choon-Hee (Department of Internal Medicine, Dong-A University College of Medicine)
Kim, Ki-Nam (Department of Radiology, Dong-A University College of Medicine)
Lee, Ki-Nam (Department of Radiology, Dong-A University College of Medicine)
Kim, Yun-Seong (Department of Internal Medicine, Busan National University College of Medicine)

Publication Information

Korean Journal of Radiology / v.10, no.1, 2009 , pp. 81-84 More about this Journal

Abstract

A percutaneous transthoracic needle biopsy is a common procedure in the practice of pulmonology. An air embolism is a rare but potentially fatal complication of a percutaneous transthoracic needle biopsy. We report four cases of a cerebral air embolism that developed after a percutaneous transthoracic needle biopsy. Early diagnosis and the rapid application of hyperbaric oxygen therapy is the mainstay of therapy for an embolism. Prevention is the best course and it is essential that possible risk factors be avoided.

Keywords

Computed tomography (CT), guidance; Embolism, gas; Lung, biopsy;

Citations & Related Records

Times Cited By Web Of Science : 1 (Related Records In Web of Science)
Times Cited By SCOPUS : 2

Reference
Cited By SCOPUS

1	Muth CM, Shank ES. Gas embolism. N Engl J Med 2000;342:476-482 DOI ScienceOn
2	Wherrett CG, Mehran RJ, Beaulieu MA. Cerebral arterial gas embolism following diagnostic bronchoscopy: delayed treatment with hyperbaric oxygen. Can J Anaesth 2002;49:96-99 DOI ScienceOn
3	Laurent F, Montaudon M, Latrabe V, Begueret H. Percutaneous biopsy in lung cancer. Eur J Radiol 2003;45:60-68 DOI ScienceOn
4	Arnold BW, Zwiebel WJ. Percutaneous transthoracic needle biopsy complicated by air embolism. AJR Am J Roentgenol 2002;178:1400-1402 DOI ScienceOn
5	Sinner WN. Complications of percutaneous transthoracic needle aspiration biopsy. Acta Radiol Diagn 1976;17:813-828 DOI PUBMED
6	Hirasawa S, Hirasawa H, Taketomi-Takahashi A, Morita H, Tsushima Y, Amanuma M, et al. Air embolism detected during computed tomography fluoroscopically guided transthoracic needle biopsy. Cardiovasc Intervent Radiol 2008;31:219-221 DOI ScienceOn
7	Aberle DR, Gamsu G, Golden JA. Fatal systemic arterial air embolism following lung needle aspiration. Radiology 1987;165:351-353 DOI
8	Hiraki T, Fujiwara H, Sakurai J, Iguchi T, Gobara H, Tajiri N, et al. Nonfatal systemic air embolism complicating percutaneous CT-guided transthoracic needle biopsy. Chest 2007;132:684-690 DOI ScienceOn
9	Ohashi S, Endoh H, Honda T, Komura N, Satoh K. Cerebral air embolism complicating percutaneous thin-needle biopsy of the lung: complete neurological recovery after hyperbaric oxygen therapy. J Anesth 2001;15:233-236 DOI ScienceOn
10	Kodama F, Ogawa T, Hashimoto M, Tanabe Y, Suto Y, Kato T. Fatal air embolism as a complication of CT-guided needle biopsy of the lung. J Comput Assist Tomogr 1999;23:949-951 DOI ScienceOn

7	(2009) Clinical radiology Systemic arterial air embolism after percutaneous lung biopsy / 66 (7) , 589
None	(2009) BMC pulmonary medicine Systemic air embolism during percutaneous core needle biopsy of the lung: frequency and risk factors / 12 (None) , 2
4	(2009) Korean journal of radiology : official journal of the Korean Radiological Society <I>In Vitro</I> Observation of Air Bubbles during Delivery of Various Detachable Aneurysm Embolization Coils / 13 (4) , 412
4	(2009) Clinical pulmonary medicine Systemic Air Embolization During Percutaneous Transthoracic Needle Biopsy: Imaging Findings, Management Strategies, and Review of the Literature / 19 (4) , 188
6	(2009) Tuberculosis and respiratory diseases : TRD Cerebral Air Embolism Following Pigtail Catheter Insertion for Pleural Fluid Drainage / 74 (6) , 286
3	(2009) Open journal of radiology Right Hemisphere Cerebral Infarction Due to Air Embolism from Percutaneous Lung Biopsy: A Case Report / 3 (3) , 130
2	(2013) 臨床神經學 A case of cerebral air embolism developed during pleural lavage / 53 (2) , 109
1	(2009) Interactive cardiovascular and thoracic surgery Therapeutic hypothermia for severe cerebral air embolism complicating pleural lavage for empyema / 17 (1) , 199
4	(2009) The Korean journal of medicine A Cerebral Air Embolism after CT-Guided Percutaneous Transthoracic Fine-Needle Aspiration Biopsy of the Lung / 85 (4) , 416
None	(2009) Radiology research and practice Influenceable and Avoidable Risk Factors for Systemic Air Embolism due to Percutaneous CT-Guided Lung Biopsy: Patient Positioning and Coaxial Biopsy Technique—Case Report, Systematic Literature / 2014 (None) , 349062
3	(2014) 日本救急醫學會雜誌 A critical care case suffering cardiopulmonary arrest due to air embolism during CT-guided marking before surgery / 25 (3) , 102
5	(2009) Cardiovascular and interventional radiology Risk Factors for Systemic Air Embolism as a Complication of Percutaneous CT-guided Lung Biopsy: Multicenter Case-control Study / 37 (5) , 1312
3	(2015) Experimental and therapeutic medicine Systemic air embolism as a complication of CT-guided percutaneous core needle lung biopsy: A case report and review of the literature / 10 (3) , 1157
None	(2009) Case reports in pulmonology Systemic Air Embolism Associated with Pleural Pigtail Chest Tube Insertion / 2016 (None) , 4053748
4	(2009) Journal of neurointerventional surgery Paradoxical cerebral air embolism causing large vessel occlusion treated with endovascular aspiration / 9 (4) , e10
2	(2009) Medicine, science, and the law Venous air embolism: An under-recognised entity in blunt-force trauma and the importance of radiology / 57 (2) , 95
1	(2009) PLoS ONE Diagnosis of small pulmonary lesions by transbronchial lung biopsy with radial endobronchial ultrasound and virtual bronchoscopic navigation versus CT-guided transthoracic needle biopsy: A systematic / 13 (1) , e0191590
4	(2009) Acta radiologica Diagnostic performance of CT-guided percutaneous transthoracic core needle biopsy using low tube voltage (100 kVp): comparison with conventional tube voltage (120 kVp) / 59 (4) , 425
6	(2009) 腦卒中 : 日本腦卒中學會機關誌 A case of a patient with cerebral air embolism that occurred after muscle strength training / 43 (6) , 551
4	(2009) 日本呼吸器外科學會雜誌 A case of successful cardiac catheterization for coronary air embolism developed after pleural lavage for chronic empyema / 35 (4) , 337
7	(2009) BMJ case reports Cerebral air embolism after indwelling pleural catheter insertion in a chronic hydropneumothorax secondary to epithelioid mesothelioma / 14 (7) , e244006