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
Medicineauthors
Wang MY,Liu YS,An XB,Li K,Liu YJ,Wang Fdoi
10.1097/MD.0000000000015437subject
Has Abstractpub_date
2019-05-01 00:00:00pages
e15437issue
18eissn
0025-7974issn
1536-5964pii
00005792-201905030-00055journal_volume
98pub_type
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