Systemic air embolism detected during percutaneous transthoracic needle biopsy: report of two cases and a proposal for a routine postprocedure computed tomography scan of the aorto-cardiac region

Clinical Imaging

Volumn 34, Issue 1, 2010, Pages 53-56

  Kuo, Hsueh Li ^a   Cheng, Lili ^a   Chung, Ta Jung ^a  

^a NATIONAL CHENG KUNG UNIVERSITY HOSPITAL   (Taiwan)

Author keywords

Air embolism; Complications; CT guided needle biopsy; Lung biopsy

Indexed keywords

COMPUTED TOMOGRAPHY; COMPUTED TOMOGRAPHY SCAN; CT SCAN; CT-GUIDED NEEDLE BIOPSY; CT-SCAN IMAGES; LUNG BIOPSY; NEEDLE BIOPSY; POTENTIALLY FATAL;

BIOLOGICAL ORGANS; COMPUTERIZED TOMOGRAPHY; NEEDLES;

BIOPSY;

ADULT; AGED; AIR EMBOLISM; ARTICLE; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; DYSPNEA; EARLY DIAGNOSIS; HUMAN; HUMAN TISSUE; LUNG ADENOCARCINOMA; LUNG BIOPSY; LUNG NON SMALL CELL CANCER; MALE; PATIENT POSITIONING; PERCUTANEOUS BIOPSY; PHYSICAL EXAMINATION; PRIORITY JOURNAL; THORAX PAIN; THORAX RADIOGRAPHY; TRANSTHORACIC BIOPSY; WEAKNESS;

ADULT; AGED; AORTOGRAPHY; BIOPSY, NEEDLE; EMBOLISM, AIR; HEART; HUMANS; IMAGE ENHANCEMENT; MALE;

EID: 73449085808     PISSN: 08997071     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.clinimag.2009.05.001     Document Type: Article

References (19)

1. Sinner W.N. Complications of percutaneous transthoracic needle aspiration biopsy. Acta Radiol Diagn (Stockh) 17 (1976) 813-828
2. Richardson C.M., Pointon K.S., Manhire A.R., and Macfarlane J.T. Percutaneous lung biopsies: a survey of UK practice based on 5444 biopsies. Br J Radiol 75 (2002) 731-735
3. Tomiyama N., Yasuhara Y., Nakajima Y., Adachi S., Arai Y., Kusumoto M., Eguchi K., Kuriyama K., Sakai F., Noguchi M., Murata K., Murayama S., Mochizuki T., Mori K., and Yamada K. CT-guided needle biopsy of lung lesions: a survey of severe complication based on 9783 biopsies in Japan. Eur J Radiol 59 (2006) 60-64
4. Westcott J.L. Air embolism complicating percutaneous needle biopsy of the lung. Chest 63 (1973) 108-110
5. Aberle D.R., Gamsu G., and Golden J.A. Fatal systemic arterial air embolism following lung needle aspiration. Radiology 165 (1987) 351-353
6. Cianci P., Posin J.P., Shimshak P.R., and Singzon J. Air embolism complicating percutaneous thin needle biopsy of lung. Chest 92 (1987) 749-751
7. Tolly T.L., Feldmeier J.E., and Czarnecki D. Air embolism complicating percutaneous lung biopsy. AJR Am J Roentgenol 150 (1988) 555-556
8. Regge D., Gallo T., Galli J., Bertinetti A., Gallino C., and Scappaticci E. Systemic arterial air embolism and tension pneumothorax: two complications of transthoracic percutaneous thin-needle biopsy in the same patient. Eur Radiol 7 (1997) 173-175
9. Arnold B.W., and Zwiebel W.J. Percutaneous transthoracic needle biopsy complicated by air embolism. AJR Am J Roentgenol 178 (2002) 1400-1402
10. Mokhlesi B., Ansaarie I., Bader M., Tareen M., and Boatman J. Coronary artery air embolism complicating a CT-guided transthoracic needle biopsy of the lung. Chest 121 (2002) 993-996
11. Mansour A., AbdelRaouf S., Qandeel M., and Swaidan M. Acute coronary artery air embolism following CT-guided lung biopsy. Cardiovasc Intervent Radiol 28 (2005) 131-134
12. Ashizawa K., Watanabe H., Morooka H., and Hayashi K. Hyperbaric oxygen therapy for air embolism complicating CT-guided needle biopsy of the lung. AJR Am J Roentgenol 182 (2004) 1606-1607
13. Lattin G., O'Brien W., McCrary B., Kearney P., and 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 17 (2006) 1355-1358
14. Khalil A., Pregent H., Parrot A., and Carette M.F. Systemic air embolism complicating percutaneous transthoracic needle biopsy. AJR Am J Roentgenol 187 (2006) W242-W243
15. Tomabechi M., Kato K., Sone M., Ehara S., Sekimura K., Kizawa T., and Kin M. Cerebral air embolism treated with hyperbaric oxygen therapy following percutaneous transthoracic computed tomography-guided needle biopsy of the lung. Radiat Med 26 (2008) 379-383
16. Hirasawa S., Hirasawa H., Taketomi-Takahashi A., Morita H., Tsushima Y., Amanuma M., and Endo K. Air embolism detected during computed tomography fluoroscopically guided transthoracic needle biopsy. Cardiovasc Intervent Radiol 31 (2008) 219-221
17. Hiraki T., Fujiwara H., Sakurai J., Iguchi T., Gobara H., Tajiri N., Mimura H., and Kanazawa S. Nonfatal systemic air embolism complicating percutaneous CT-guided transthoracic needle biopsy: four cases from a single institution. Chest 132 (2007) 684-690
18. Muth C.M., and Shank E.S. Gas embolism. N Engl J Med 342 (2000) 476-482
19. Tibbles P.M., and Edelsberg J.S. Hyperbaric-oxygen therapy. N Engl J Med 334 (1996) 1642-1648