scholarly journals 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 Review, and a Technical Note

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Gernot Rott ◽  
Frieder Boecker
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Lung Biopsy ◽  
Air Embolism ◽  
Patient Positioning ◽  
Technical Note ◽  
Ct Guided ◽  
First Case ◽  
Systemic Air Embolism ◽  
Avoidable Risk

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.

scholarly journals Risk Factors for Systemic Air Embolism as a Complication of Percutaneous CT-guided Lung Biopsy: Multicenter Case-control Study

2013 ◽  
Vol 37 (5) ◽  
pp. 1312-1320 ◽  
Author(s):  
Hiroaki Ishii ◽  
Takao Hiraki ◽  
Hideo Gobara ◽  
Hiroyasu Fujiwara ◽  
Hidefumi Mimura ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lung Biopsy ◽  
Case Control Study ◽  
Air Embolism ◽  
Case Control ◽  
Ct Guided ◽  
Systemic Air Embolism ◽  
Control Study

scholarly journals Systemic air embolism depicted on systematic whole thoracic CT acquisition after percutaneous lung biopsy: Incidence and risk factors

2019 ◽  
Vol 117 ◽  
pp. 26-32 ◽  
Author(s):  
Valérie Monnin-Bares ◽  
Guillaume Chassagnon ◽  
Hélène Vernhet-Kovacsik ◽  
Hamid Zarqane ◽  
Juliette Vanoverschelde ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lung Biopsy ◽  
Air Embolism ◽  
Thoracic Ct ◽  
Systemic Air Embolism ◽  
Percutaneous Lung Biopsy

scholarly journals SYSTEMIC AIR EMBOLISM AFTER PERCUTANEOUS CT-GUIDED LUNG BIOPSY

CHEST Journal ◽  
2019 ◽  
Vol 156 (4) ◽  
pp. A238
Author(s):  
SARAALESSANDRA LONNI ◽  
Paolo Ceruti
Keyword(s):  
Lung Biopsy ◽  
Air Embolism ◽  
Ct Guided ◽  
Systemic Air Embolism

scholarly journals Systemic air embolism as a complication of percutaneous computed tomography guided transthoracic lung biopsy

2017 ◽  
Vol 99 (6) ◽  
pp. e174-e176 ◽  
Author(s):  
P Ialongo ◽  
L Ciarpaglini ◽  
MD Tinti ◽  
MN Suadoni ◽  
G Cardillo
Keyword(s):  
Computed Tomography ◽  
Cardiopulmonary Resuscitation ◽  
Left Ventricle ◽  
Lung Biopsy ◽  
Air Embolism ◽  
Postmortem Ct ◽  
Ct Guided ◽  
Biopsy Needle ◽  
Descending Aorta ◽  
Systemic Air Embolism

A 57-year-old man underwent prone position computed tomography (CT) guided percutaneous transthoracic lung biopsy. After removal of the 18-gauge biopsy needle, the patient lost consciousness and developed shock. CT showed signs of air embolism in descending aorta and left atrium. Cardiopulmonary resuscitation was unsuccessful. A postmortem CT scan confirmed a massive air embolism in the descending aorta, left ventricle and brain. Systemic air embolism occurs in around 0.001–0.003% of lung biopsy procedures. Recommendations to reduce the risk include requesting the patient to stop breathing during the procedure and preventing the exposure of the outer cannula of a coaxial biopsy needle to the atmosphere.

scholarly journals Coronary artery air embolism complicating a CT-guided percutaneous lung biopsy

2019 ◽  
Vol 29 (1) ◽  
pp. 81 ◽  
Author(s):  
Ashwin Deshmukh ◽  
Nirav Kadavani ◽  
Ritu Kakkar ◽  
Shrinivas Desai ◽  
GanapathiM Bhat
Keyword(s):  
Coronary Artery ◽  
Lung Biopsy ◽  
Air Embolism ◽  
Ct Guided ◽  
Percutaneous Lung Biopsy
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