학술논문
Systemic arterial air embolism after percutaneous lung biopsy.
Document Type
Academic Journal
Author
Hare SS; The Ottawa Hospital, Ontario, Canada. samanjit@btinternet.com; Gupta A; Goncalves AT; Souza CA; Matzinger F; Seely JM
Source
Publisher: Blackwell Scientific Publications Ltd Country of Publication: England NLM ID: 1306016 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-229X (Electronic) Linking ISSN: 00099260 NLM ISO Abbreviation: Clin Radiol Subsets: MEDLINE
Subject
Language
English
Abstract
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.
(Copyright © 2011 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.)
(Copyright © 2011 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.)