Case Report
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Cranial air embolism after transthoracic lung biopsy: A case report of a rare complication

Year 2022, Volume 6, Issue 4, 521 - 523, 01.04.2022
https://doi.org/10.28982/josam.1032071

Abstract

Cerebral air embolism is a rare and fatal complication of computed tomography-guided transthoracic lung biopsy. Lesions with pulmonary vein involvement—especially cavitary lesions—require particular care during procedures performed with a guided needle. Only 2 ml of an air embolism reaching the cerebral arteries is fatal, and a 1-ml cardiac air embolism can be fatal. Hyperbaric oxygen therapy should be started immediately to reduce mortality and ensure recovery among patients who develop unconsciousness and extremity paralysis during or after the procedure including when diagnosed with cranial CT imaging. Hyperbaric oxygen therapy has been reported to reduce mortality by up to 7% and reduces neurological deficits after 48 hours—even in delayed cases. Thus, transthoracic lung biopsy is important for the diagnosis of peripheral lung masses. Here, we present a rare complication after this procedure. Our goal here was to contribute to early diagnosis and treatment by creating awareness.

References

  • 1. Yun Su Hwang, MD, In Hwan Lim, MD, Hyun Goo Kang, MD, Jin Sung Cheong, MD Cerebral Air Embolism Following Thyroid Biopsy. J Neurocrit Care. 2016 June 30;9(1):45-9. doi: 10.18700/jnc.2016.9.1.45
  • 2. Murphy BP, Harford FJ, Cramer FS. Cerebral air embolism resulting from invasive medical procedures. treatment with hyperbaric oxygen. Ann Surg. 1985 Feb;201(2):242-5. doi: 10.1097/00000658-198502000-00019
  • 3. Richardson CM, Pointon KS, Manhire AR, Macfarlane JT. Percutaneous lung biopsies: a survey of UK practice based on 5444 biopsies. BJR. 2002 Sep;75(897):731-5. doi: 10.1259/bjr.75.897.750731
  • 4. Tomiyama N, Yasuhara Y, Nakajima Y, Adachi S, Arai Y, Kusumoto M, et al. CT-guided needle biopsy of lung lesions: a survey of severe complication based on 9783 biopsies in Japan. Eur J Radiol. 2006 Jul;59(1):60-4. doi: 10.1016/j.ejrad.2006.02.001
  • 5. Hare SS, Gupta A, Goncalves AT, Souza CA, Matzinger F, Seely JM. Systemic arterial air embolism after percutaneous lung bi¬opsy. Clinical radiology. 2011Jul;66(7):589-96 doi: 10.1016/j.crad.2011.03.005
  • 6. Muth CM, Shank ES. Gas embolism. N Engl J Med. 2000 Feb;342:476-82. doi: 10.1056/NEJM200002173420706
  • 7. 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(4):233-6. doi: 10.1007/s005400170008
  • 8. Ghafoori M, Varedi P. Systemic air embolism after percutaneous transthorasic needle biopsy of the lung. Emerg Radiol. 2008 Sep;15(5):353-6. doi: 10.1007/s10140-007-0685-y
  • 9. Pandurangadu AV, Paul JA, Barawi M, Irvin CB. A case report of cerebral air embolism after esophagogastroduodenoscopy: diagnosis and management in the emergency department. J Emerg Med. 2012 Dec;43(6):976-9. doi: 10.1016/j.jemermed.2010.11.031
  • 10. Lattin G Jr, O'Brien W Sr, McCrary B, Kearney P, Gover D. Massive systemic air embolism treated with hyperbaric oxygen therapy following CT-guided transthoracic needle biopsy of a pulmonary nodule. J Vasc Interv Radiol. 2006 Aug;17(8):1355-8. doi: 10.1097/01.RVI.0000231949.35479.89.

Year 2022, Volume 6, Issue 4, 521 - 523, 01.04.2022
https://doi.org/10.28982/josam.1032071

Abstract

References

  • 1. Yun Su Hwang, MD, In Hwan Lim, MD, Hyun Goo Kang, MD, Jin Sung Cheong, MD Cerebral Air Embolism Following Thyroid Biopsy. J Neurocrit Care. 2016 June 30;9(1):45-9. doi: 10.18700/jnc.2016.9.1.45
  • 2. Murphy BP, Harford FJ, Cramer FS. Cerebral air embolism resulting from invasive medical procedures. treatment with hyperbaric oxygen. Ann Surg. 1985 Feb;201(2):242-5. doi: 10.1097/00000658-198502000-00019
  • 3. Richardson CM, Pointon KS, Manhire AR, Macfarlane JT. Percutaneous lung biopsies: a survey of UK practice based on 5444 biopsies. BJR. 2002 Sep;75(897):731-5. doi: 10.1259/bjr.75.897.750731
  • 4. Tomiyama N, Yasuhara Y, Nakajima Y, Adachi S, Arai Y, Kusumoto M, et al. CT-guided needle biopsy of lung lesions: a survey of severe complication based on 9783 biopsies in Japan. Eur J Radiol. 2006 Jul;59(1):60-4. doi: 10.1016/j.ejrad.2006.02.001
  • 5. Hare SS, Gupta A, Goncalves AT, Souza CA, Matzinger F, Seely JM. Systemic arterial air embolism after percutaneous lung bi¬opsy. Clinical radiology. 2011Jul;66(7):589-96 doi: 10.1016/j.crad.2011.03.005
  • 6. Muth CM, Shank ES. Gas embolism. N Engl J Med. 2000 Feb;342:476-82. doi: 10.1056/NEJM200002173420706
  • 7. 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(4):233-6. doi: 10.1007/s005400170008
  • 8. Ghafoori M, Varedi P. Systemic air embolism after percutaneous transthorasic needle biopsy of the lung. Emerg Radiol. 2008 Sep;15(5):353-6. doi: 10.1007/s10140-007-0685-y
  • 9. Pandurangadu AV, Paul JA, Barawi M, Irvin CB. A case report of cerebral air embolism after esophagogastroduodenoscopy: diagnosis and management in the emergency department. J Emerg Med. 2012 Dec;43(6):976-9. doi: 10.1016/j.jemermed.2010.11.031
  • 10. Lattin G Jr, O'Brien W Sr, McCrary B, Kearney P, Gover D. Massive systemic air embolism treated with hyperbaric oxygen therapy following CT-guided transthoracic needle biopsy of a pulmonary nodule. J Vasc Interv Radiol. 2006 Aug;17(8):1355-8. doi: 10.1097/01.RVI.0000231949.35479.89.

Details

Primary Language English
Subjects Radiology, Nuclear Medicine, Medical Imaging
Journal Section Case report
Authors

Hacı Taner BULUT (Primary Author)
ADIYAMAN ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0002-8152-2497
Türkiye


Hasan SOYSALDI This is me
ADIYAMAN UNIVERSITY
0000-0003-3526-4797
Türkiye


Mahmut ÇORAPLI
ADIYAMAN ÜNİVERSİTESİ
0000-0002-4223-7845
Türkiye

Publication Date April 1, 2022
Published in Issue Year 2022, Volume 6, Issue 4

Cite

Bibtex @case report { josam1032071, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2022}, volume = {6}, pages = {521 - 523}, doi = {10.28982/josam.1032071}, title = {Cranial air embolism after transthoracic lung biopsy: A case report of a rare complication}, key = {cite}, author = {Bulut, Hacı Taner and Soysaldı, Hasan and Çoraplı, Mahmut} }
APA Bulut, H. T. , Soysaldı, H. & Çoraplı, M. (2022). Cranial air embolism after transthoracic lung biopsy: A case report of a rare complication . Journal of Surgery and Medicine , 6 (4) , 521-523 . DOI: 10.28982/josam.1032071
MLA Bulut, H. T. , Soysaldı, H. , Çoraplı, M. "Cranial air embolism after transthoracic lung biopsy: A case report of a rare complication" . Journal of Surgery and Medicine 6 (2022 ): 521-523 <https://jsurgmed.com/en/pub/issue/69115/1032071>
Chicago Bulut, H. T. , Soysaldı, H. , Çoraplı, M. "Cranial air embolism after transthoracic lung biopsy: A case report of a rare complication". Journal of Surgery and Medicine 6 (2022 ): 521-523
RIS TY - JOUR T1 - Cranial air embolism after transthoracic lung biopsy: A case report of a rare complication AU - Hacı Taner Bulut , Hasan Soysaldı , Mahmut Çoraplı Y1 - 2022 PY - 2022 N1 - doi: 10.28982/josam.1032071 DO - 10.28982/josam.1032071 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 521 EP - 523 VL - 6 IS - 4 SN - -2602-2079 M3 - doi: 10.28982/josam.1032071 UR - https://doi.org/10.28982/josam.1032071 Y2 - 2022 ER -
EndNote %0 Journal of Surgery and Medicine Cranial air embolism after transthoracic lung biopsy: A case report of a rare complication %A Hacı Taner Bulut , Hasan Soysaldı , Mahmut Çoraplı %T Cranial air embolism after transthoracic lung biopsy: A case report of a rare complication %D 2022 %J Journal of Surgery and Medicine %P -2602-2079 %V 6 %N 4 %R doi: 10.28982/josam.1032071 %U 10.28982/josam.1032071
ISNAD Bulut, Hacı Taner , Soysaldı, Hasan , Çoraplı, Mahmut . "Cranial air embolism after transthoracic lung biopsy: A case report of a rare complication". Journal of Surgery and Medicine 6 / 4 (April 2022): 521-523 . https://doi.org/10.28982/josam.1032071
AMA Bulut H. T. , Soysaldı H. , Çoraplı M. Cranial air embolism after transthoracic lung biopsy: A case report of a rare complication. J Surg Med. 2022; 6(4): 521-523.
Vancouver Bulut H. T. , Soysaldı H. , Çoraplı M. Cranial air embolism after transthoracic lung biopsy: A case report of a rare complication. Journal of Surgery and Medicine. 2022; 6(4): 521-523.
IEEE H. T. Bulut , H. Soysaldı and M. Çoraplı , "Cranial air embolism after transthoracic lung biopsy: A case report of a rare complication", Journal of Surgery and Medicine, vol. 6, no. 4, pp. 521-523, Apr. 2022, doi:10.28982/josam.1032071

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