Gas Embolism Following Bronchoscopic Argon Plasma Coagulation

CHEST Journal ◽  
2008 ◽  
Vol 134 (5) ◽  
pp. 1066-1069 ◽  
Author(s):  
Chakravarthy Reddy ◽  
Adnan Majid ◽  
Gaetane Michaud ◽  
David Feller-Kopman ◽  
Ralph Eberhardt ◽  
...  
Keyword(s):  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Gas Embolism ◽  
Plasma Coagulation

Argon Plasma Coagulation: Elucidation of the Mechanism of Gas Embolism

Respiration ◽  
2021 ◽  
pp. 1-5
Author(s):  
Erik E. Folch ◽  
Catherine L. Oberg ◽  
Atul C. Mehta ◽  
Adnan Majid ◽  
Colleen Keyes ◽  
...  
Keyword(s):  
Direct Contact ◽  
Gas Flow ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Tracheobronchial Tree ◽  
Bleeding Complications ◽  
Gas Transfer ◽  
Gas Embolism ◽  
Associated Gas ◽  
Plasma Coagulation

<b><i>Background:</i></b> Argon plasma coagulation (APC) is a tool used in the management of tracheobronchial obstruction or bleeding. Complications include gas embolism which can cause devastating effects including hemodynamic instability, cardiac arrest, and stroke. Multiple theories as to how gas embolism occurs with APC have been postulated; however, none have identified the exact mechanism. <b><i>Objectives:</i></b> To identify the mechanism by which APC causes gas embolism in the tracheobronchial tree. <b><i>Methods:</i></b> Using an explanted porcine tracheobronchial tree with lung parenchyma, the APC catheter was applied through noncontact and direct contact to the endobronchial airway mucosa via flexible bronchoscopy. This was done at multiple gas flow settings and pulse durations. Visual changes in the mucosa were photographed, videoed, and described. <b><i>Results:</i></b> Gross evidence of submucosal gas transfer occurred when the APC catheter was in direct contact with the mucosa at all gas flow settings in all applications, despite using shorter pulse durations. Whenever the catheter was not in contact with the mucosa, there was no transfer of gas at any gas flow setting or pulse duration. <b><i>Conclusions:</i></b> Direct mucosal contact with the APC probe leads to submucosal gas deposition and is a likely mechanism for gas entry into the intravascular space. In reported cases of APC-associated gas embolism, presence of a vascularized endobronchial tumor may have increased the risk of gas tracking into the intravascular space. Care should be taken when applying APC during brisk bleeding or limited vision, as inadvertent mucosal contact may occur and could increase the risk of gas embolism.

Case of Life-Threatening Gas Embolism Associated With Argon Plasma Coagulation

CHEST Journal ◽  
2010 ◽  
Vol 138 (4) ◽  
pp. 116A
Author(s):  
Samaan Rafeq ◽  
Sugantha Sundar ◽  
Armin Ernst ◽  
Adnan Majid
Keyword(s):  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Gas Embolism ◽  
Plasma Coagulation ◽  
Life Threatening

scholarly journals Cerebral Gas Embolism from Bronchoscopic Argon Plasma Coagulation: A Case Report

Respiration ◽  
2012 ◽  
Vol 83 (3) ◽  
pp. 267-270 ◽  
Author(s):  
Yasmeen Shaw ◽  
Ken Y. Yoneda ◽  
Andrew L. Chan
Keyword(s):  
Case Report ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Gas Embolism ◽  
Plasma Coagulation

GAS EMBOLISM WITH THE USE OF BRONCHOSCOPIC ARGON PLASMA COAGULATION

CHEST Journal ◽  
2009 ◽  
Vol 136 (4) ◽  
pp. 39S
Author(s):  
Dilip Nataraj ◽  
Adnan Majid ◽  
Feroze Mahmood ◽  
Saleh Alazemi ◽  
David M. Berkowitz ◽  
...  
Keyword(s):  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Gas Embolism ◽  
Plasma Coagulation

scholarly journals Cardiac Arrest due to Left Ventricular Gas Embolism After Bronchoscopic Argon Plasma Coagulation: A Case Report

2007 ◽  
Vol 14 (1) ◽  
pp. 33-35 ◽  
Author(s):  
Yaron Goldman ◽  
Peter J. Panzica ◽  
Duane S. Pinto ◽  
Ralph Delatorre ◽  
David Feller-Kopman ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Case Report ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Left Ventricular ◽  
Gas Embolism ◽  
Plasma Coagulation

Endoscopic mucosal resection for recurrent gastric antral vascular ectasia

VASA ◽  
2008 ◽  
Vol 37 (3) ◽  
pp. 289-292 ◽  
Author(s):  
Katsinelos ◽  
Chatzimavroudis ◽  
Katsinelos ◽  
Panagiotopoulou ◽  
Kotakidou ◽  
...  
Keyword(s):  
Endoscopic Mucosal Resection ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Deficiency Anemia ◽  
Gastric Antral Vascular Ectasia ◽  
Therapeutic Approaches ◽  
Plasma Coagulation ◽  
Vascular Ectasia ◽  
Mucosal Resection ◽  
First Case

Gastric antral vascular ectasia (GAVE) is an overt or occult source of gastrointestinal bleeding. Despite several therapeutic approaches have been successfully tested for preventing chronic bleeding, some patients present recurrence of GAVE lesions. To the best of our knowledge, we report the first case, of a 86-year-old woman who presented severe iron-deficiency anemia due to GAVE and showed recurrence of GAVE lesion despite the intensive argon plasma coagulation treatment. We performed endoscopic mucosal resection of bleeding GAVE with resolution of anemia.

Argon-Plasma-Coagulation (APC) zur lokalablativen Therapie des Cholangiokarzinoms

2015 ◽  
Vol 28 (01) ◽  
Author(s):  
A Genthner ◽  
A Eickhoff ◽  
J Albert ◽  
MD Enderle ◽  
W Linzenbold
Keyword(s):  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Plasma Coagulation
Sign in / Sign up

Export Citation Format

Share Document