Cerebral arterial air embolism after computed tomography-guided hook-wire localization of a pulmonary nodule: A case report.

Abstract:

RATIONALE:Cranial arterial air embolism is a rare but potentially fatal complication after computed tomography (CT)-guided pulmonary interventions. PATIENT CONCERNS:A 64-year-old man was diagnosed with a pulmonary nodule (diameter: approximately 1 cm) in the right lower lobe. The patient developed convulsions after CT-guided hook-wire localization. DIAGNOSIS:Cranial CT revealed arborizing/linearly distributed gas in the territory of the right middle cerebral artery. INTERVENTIONS:The patient was administered hyperbaric oxygen, antiplatelet aggregation therapy, and dehydration treatment. OUTCOMES:Clinical death occurred 55 hours after air embolism. LESSONS:Systemic air embolism is a serious complication of lung puncture. Clinicians should improve their understanding of this complication and remain vigilant against air embolism.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Wang MY,Liu YS,An XB,Li K,Liu YJ,Wang F

doi

10.1097/MD.0000000000015437

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

e15437

issue

18

eissn

0025-7974

issn

1536-5964

pii

00005792-201905030-00055

journal_volume

98

pub_type

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