Semin intervent Radiol 2014; 31(04): 375-377
DOI: 10.1055/s-0034-1393975
Morbidity and Mortality
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Systemic Air Embolism following Percutaneous Lung Biopsy

Raja Ramaswamy
1   Department of Diagnostic and Interventional Radiology, University of California, San Diego, California
,
Kazim H. Narsinh
1   Department of Diagnostic and Interventional Radiology, University of California, San Diego, California
,
August Tuan
1   Department of Diagnostic and Interventional Radiology, University of California, San Diego, California
,
Thomas B. Kinney
1   Department of Diagnostic and Interventional Radiology, University of California, San Diego, California
› Author Affiliations
Further Information

Publication History

Publication Date:
14 November 2014 (online)

Systemic air embolism is a serious complication that may occur during a transthoracic percutaneous lung biopsy. Although rarely encountered, sequelae from systemic air embolism may result in a wide range of cardiac and neurologic presentations that are potentially fatal. Prompt clinical and radiologic recognition of systemic air embolism can prevent significant morbidity and mortality. The authors performed a transthoracic percutaneous lung biopsy that was complicated by seizures and transient neurologic deficits. In this article, a case of percutaneous lung biopsy complicated by a systemic arterial air embolism is presented, and strategies for prevention and management of this complication are discussed.

 
  • References

  • 1 Cheng HM, Chiang KH, Chang PY , et al. Coronary artery air embolism: a potentially fatal complication of CT-guided percutaneous lung biopsy. Br J Radiol 2010; 83 (988) e83-e85
  • 2 Hare SS, Gupta A, Goncalves AT, Souza CA, Matzinger F, Seely JM. Systemic arterial air embolism after percutaneous lung biopsy. Clin Radiol 2011; 66 (7) 589-596
  • 3 Tomiyama N, Yasuhara Y, Nakajima Y , 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 (1) 60-64
  • 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
  • 5 Mansour A, AbdelRaouf S, Qandeel M, Swaidan M. Acute coronary artery air embolism following CT-guided lung biopsy. Cardiovasc Intervent Radiol 2005; 28 (1) 131-134
  • 6 Ohashi S, Endoh H, Honda T, Komura N, Satoh K. Cerebral air embolism complicating percutaneous thin-needle biopsy of the lung: complete neurological recovery after hyperbaric oxygen therapy. J Anesth 2001; 15 (4) 233-236
  • 7 Muth CM, Shank ES. Gas embolism. N Engl J Med 2000; 342 (7) 476-482
  • 8 Mirski MA, Lele AV, Fitzsimmons L, Toung TJ. Diagnosis and treatment of vascular air embolism. Anesthesiology 2007; 106 (1) 164-177
  • 9 Wu CC, Maher MM, Shepard JA. Complications of CT-guided percutaneous needle biopsy of the chest: prevention and management. AJR Am J Roentgenol 2011; 196 (6) W678-82
  • 10 Coulter TD, Wiedemann HP. Gas embolism. N Engl J Med 2000; 342 (26) 2000 , author reply 2001–2002
  • 11 Lattin Jr G, O'Brien Sr W, McCrary B, Kearney P, 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 2006; 17 (8) 1355-1358