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 OJRad  Vol.3 No.3 , September 2013
Right Hemisphere Cerebral Infarction Due to Air Embolism from Percutaneous Lung Biopsy: A Case Report
Abstract: Percutaneous transthoracic needle biopsy is a common procedure in interventional radiology. Systemic arterial air embolism causing cerebral infarction is a rare but much feared complication of percutaneous lung biopsy. We present a comprehensive review of iatrogenic air embolism post-lung biopsy, a complication that is often sub optimally managed. Patho-physiology, clinical features, and risk factors and management are reviewed.
Cite this paper: C. Ahuja, Y. Kharoti, J. Critchfield and M. Chadha, "Right Hemisphere Cerebral Infarction Due to Air Embolism from Percutaneous Lung Biopsy: A Case Report," Open Journal of Radiology, Vol. 3 No. 3, 2013, pp. 130-132. doi: 10.4236/ojrad.2013.33021.
References

[1]   S. J. Um, S. K. Lee, D. K. Yang, C. Son, K. N. Kim, K. N. Lee and Y. S. Kim, “Four Cases of a Cerebral Air Embolism Complicating a Percutaneous Transthoracic Needle Biopsy,” Korean Journal of Radiology, Vol. 10, No. 1, 2009, pp. 81-84. doi:10.3348/kjr.2009.10.1.81

[2]   A. R. Manhire, C. M. Richardson and F. V. Gleeson, “Lung Biopsy Guidelines—For the Obedience of Fools and Guidance of Wise Men,” Thorax, Vol. 58, No. 11, 2003, pp. 913-914.
doi:10.1136/thorax.58.11.913

[3]   R. A. Vanhulst, J. Klein and B. Lachmann, “Gas Embolism: Pathophysiology and Treatment,” Clinical Physiology and Functional Imaging, Vol. 23, No. 5, 2003, pp. 237-246. doi:10.1046/j.1475-097X.2003.00505.x

[4]   J. T. Sylvester, L. A. Shimoda, P. I. Aaronson and J. P. Ward, “Hypoxic Pulmonary Vasoconstriction,” Physiological Reviews, Vol. 92, No. 1, 2012, pp. 367-520. doi:10.1152/physrev.00041.2010

[5]   B. Mokhlesi, I. Ansaarie, M. Bader, M. Tareen and J. Boatman, “Coronary Artery Air Embolism Complicating a CT-Guided Transthoracic Needle Biopsy of the Lung,” Chest, Vol. 121, No. 3, 2002, pp. 993-996. doi:10.1378/chest.121.3.993

[6]   B. W. Arnold and W. J. Zwiebel, “Percutaneous Transthoracic Needle Biopsy Complicated by Air Embolism,” American Journal of Roentgenology, Vol. 178, No. 6, 2002, pp. 1400-1402.
doi:10.2214/ajr.178.6.1781400

[7]   K. Ashizawa, H. Watanabe, H. Morooka and K. Hayashi, “Hyperbaric Oxygen Therapy for Air Embolism Complicating CT-Guided Needle Biopsy of the Lung,” American Journal of Roentgenology, Vol. 182, No. 6, 2004, pp. 1606-1607. doi:10.2214/ajr.182.6.1821606

 
 
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