Advertisement

CardioVascular and Interventional Radiology

, Volume 42, Issue 1, pp 150–153 | Cite as

Trans-Catheter Aspiration of Systemic Air Embolism Causing Cardiac Compromise During CT-Guided Lung Biopsy, a Potentially Lifesaving Maneuver

  • Maria El Homsi
  • Ali Haydar
  • Jad Dughayli
  • Aghiad Al-KutoubiEmail author
Case Report

Abstract

Systemic artery embolism is a rare complication of CT-guided lung biopsy. Immediate clinical and radiological recognitions are crucial for rapid intervention and prevention of fatal outcome. Although hyperbaric oxygen is the suggested treatment of mildly symptomatic systemic artery embolization, aspiration of air should be considered as part of the management in cases of cardiac arrest.

Keywords

Systemic air embolism Lung biopsy Cardiac compromise Air aspiration 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

References

  1. 1.
    Wu C, Maher M, Shepard J. Complications of CT guided percutaneous needle biopsy of the chest: prevention and management. AJR. 2011;196(6):W678e82.CrossRefGoogle Scholar
  2. 2.
    Hare S, Gupta A, Goncalves A, Souza C, Matzinger F, Seely J. Systemic arterial air embolism after percutaneous lung biopsy. Clin Radiol. 2011;66(7):589e96.CrossRefGoogle Scholar
  3. 3.
    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;59:60e4.CrossRefGoogle Scholar
  4. 4.
    Freund MC, Petersen J, Goder KC, Bunse T, Wiedermann F, Glodny B. Systemic air embolism during percutaneous core needle biopsy of the lung: frequency and risk factors. BMC Pulm Med. 2012;12:2.CrossRefGoogle Scholar
  5. 5.
    Mansour A, AbdelRaouf S, Qandeel M, Swaidan M. Acute coronary artery air embolism following CT-guided lung. Cardiovasc Intervent Radiol. 2005;28:131–4.CrossRefGoogle Scholar
  6. 6.
    Mirski MA, Lele AV, Fitzsimmons L, Toung TJ. Diagnosis and treatment of vascular air embolism. Anesthesiology. 2007;106:164–77.CrossRefGoogle Scholar
  7. 7.
    Ishii H, Hiraki T, Gobara H, Fujiwara H, Mimura H, Yasui K. Factors for systemic air embolism as a complication of percutaneous CT-guided lung biopsy: multicenter case-control study. Cardiovasc Interv Radiol. 2014;37(5):1312–20.CrossRefGoogle Scholar
  8. 8.
    Chamsuddin A, Ashou R. Treatment of massive systemic air embolism during lung biopsy. Arab J Interv Radiol. 2017;1(1):33–6.CrossRefGoogle Scholar
  9. 9.
    Colley PS, Artu AA. Bunegin-albino catheter improves air retrieval and resuscitation from lethal air embolism in up-right dogs. Anesth Analg. 1989;68:298–301.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018

Authors and Affiliations

  1. 1.Department of Diagnostic RadiologyAmerican University Medical CenterBeirutLebanon
  2. 2.Department of AnesthesiologyAmerican University Medical CenterBeirutLebanon

Personalised recommendations