scholarly journals Systemic air embolism as a complication of CT-guided percutaneous core needle lung biopsy: A case report and review of the literature

2015 ◽  
Vol 10 (3) ◽  
pp. 1157-1160 ◽  
Author(s):  
CHUANSHU SUN ◽  
JIE BIAN ◽  
SHENGYUAN LAI ◽  
XIUHUA LI
2019 ◽  
Vol 36 (02) ◽  
pp. 068-071
Author(s):  
Katherine Marchak ◽  
Michael J. Hong ◽  
Kristofer M. Schramm

Systemic air embolism (SAE) is a rare but serious complication of percutaneous core needle biopsy (PCNB) of the lung. Incidence of clinically apparent SAE is estimated at 0.061%, while clinically silent SAE may be as high as 3.8%. We present the complication of a small SAE during PCNB of the lung in a 78-year-old patient, which resulted in a transient myocardial ischemic event. This case highlights the importance of understanding the mechanism, frequency, and management of rare complications of PCNB of the lung; these complications should be considered in preoperative risk stratification. Regarding evaluation of postbiopsy computed tomography, operators should utilize a systematic search pattern to assess for complications. Level of Evidence: Level 4, Case Report.


CHEST Journal ◽  
2019 ◽  
Vol 156 (4) ◽  
pp. A238
Author(s):  
SARAALESSANDRA LONNI ◽  
Paolo Ceruti

2013 ◽  
Vol 37 (5) ◽  
pp. 1312-1320 ◽  
Author(s):  
Hiroaki Ishii ◽  
Takao Hiraki ◽  
Hideo Gobara ◽  
Hiroyasu Fujiwara ◽  
Hidefumi Mimura ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Gernot Rott ◽  
Frieder Boecker

Following the first case of a systemic air embolism due to percutaneous CT-guided lung biopsy in our clinic we analysed the literature regarding this matter in view of influenceable or avoidable risk factors. A systematic review of literature reporting cases of systemic air embolism due to CT-guided lung biopsy was performed to find out whether prone positioning might be a risk factor regarding this issue. In addition, a technical note concerning coaxial biopsy practice is presented. Prone position seems to have relevance for the development and/or clinical manifestation of air embolism due to CT-guided lung biopsy and should be considered a risk factor, at least as far as lesions in the lower parts of the lung are concerned. Biopsies of small or cavitary lesions in coaxial technique should be performed using a hemostatic valve.


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