Skip to main content
Erschienen in: CardioVascular and Interventional Radiology 5/2008

01.09.2008 | Review

When Coughing Can Cause Stroke—A Case-Based Update on Cerebral Air Embolism Complicating Biopsy of the Lung

verfasst von: Thomas Kau, Egon Rabitsch, Stefan Celedin, Sandra M. Habernig, Jörg R. Weber, Klaus A. Hausegger

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 5/2008

Einloggen, um Zugang zu erhalten

Abstract

Introducing gas to the circulation is a largely iatrogenic problem which can result in serious morbidity and even death. We report a case of CT-guided needle biopsy of a pulmonary lesion complicated by acute stroke. The English literature on cerebral air embolism is reviewed, including an update of current opinions on its pathomechanism, diagnostic findings, therapeutic strategies, and means of prevention.
Literatur
1.
Zurück zum Zitat Aberle DR, Gamsu G, Golden JA (1987) Fatal systemic arterial air embolism following lung needle aspiration. Radiology 165:351–353PubMed Aberle DR, Gamsu G, Golden JA (1987) Fatal systemic arterial air embolism following lung needle aspiration. Radiology 165:351–353PubMed
2.
Zurück zum Zitat Murphy JM, Gleeson FV, Flower CD (2001) Percutaneous needle biopsy of the lung and its impact on patient management. World J Surg 25:373–379PubMedCrossRef Murphy JM, Gleeson FV, Flower CD (2001) Percutaneous needle biopsy of the lung and its impact on patient management. World J Surg 25:373–379PubMedCrossRef
3.
Zurück zum Zitat Sinner WN (1976) Complications of percutaneous transthoracic needle aspiration biopsy. Acta Radiol Diagn (Stockh) 17:813–828 Sinner WN (1976) Complications of percutaneous transthoracic needle aspiration biopsy. Acta Radiol Diagn (Stockh) 17:813–828
4.
Zurück zum Zitat Hiraki T, Fujiwara H, Sakurai J et al (2007) Nonfatal systemic air embolism complicating percutaneous CT-guided transthoracic needle biopsy: four cases from a single institution. Chest 132:684–690PubMedCrossRef Hiraki T, Fujiwara H, Sakurai J et al (2007) Nonfatal systemic air embolism complicating percutaneous CT-guided transthoracic needle biopsy: four cases from a single institution. Chest 132:684–690PubMedCrossRef
6.
Zurück zum Zitat Murphy BP, Harford FJ, Cramer FS (1985) Cerebral air embolism resulting from invasive medical procedures. Ann Surg 201:242–245PubMedCrossRef Murphy BP, Harford FJ, Cramer FS (1985) Cerebral air embolism resulting from invasive medical procedures. Ann Surg 201:242–245PubMedCrossRef
7.
Zurück zum Zitat Mitchell S, Gorman D (2002) The pathophysiology of cerebral arterial gas embolism. J Extra Corpor Technol 34:18–23PubMed Mitchell S, Gorman D (2002) The pathophysiology of cerebral arterial gas embolism. J Extra Corpor Technol 34:18–23PubMed
8.
Zurück zum Zitat Helps SC, Parsons DW, Reilly PL et al (1990) The effect of gas emboli on rabbit cerebral blood flow. Stroke 21:94–99PubMed Helps SC, Parsons DW, Reilly PL et al (1990) The effect of gas emboli on rabbit cerebral blood flow. Stroke 21:94–99PubMed
9.
Zurück zum Zitat Schlimp CJ, Loimer T, Rieger M et al (2005) The potential of venous air embolism ascending retrograde to the brain. J Forens Sci 50:906–909 Schlimp CJ, Loimer T, Rieger M et al (2005) The potential of venous air embolism ascending retrograde to the brain. J Forens Sci 50:906–909
10.
Zurück zum Zitat Westcott JL (1973) Air embolism complicating percutaneous needle biopsy of the lung. Chest 63:108–110PubMedCrossRef Westcott JL (1973) Air embolism complicating percutaneous needle biopsy of the lung. Chest 63:108–110PubMedCrossRef
11.
Zurück zum Zitat Mokhlesi B, Ansaarie I, Bader M et al (2002) Coronary artery air embolism complicating a CT-guided transthoracic needle biopsy of the lung. Chest 121:993–996PubMedCrossRef Mokhlesi B, Ansaarie I, Bader M et al (2002) Coronary artery air embolism complicating a CT-guided transthoracic needle biopsy of the lung. Chest 121:993–996PubMedCrossRef
12.
Zurück zum Zitat Ashizawa K, Watanabe H, Morooka H et al (2004) Hyperbaric oxygen therapy for air embolism complicating CT-guided needle biopsy ot the lung. AJR 182:1606–1607PubMed Ashizawa K, Watanabe H, Morooka H et al (2004) Hyperbaric oxygen therapy for air embolism complicating CT-guided needle biopsy ot the lung. AJR 182:1606–1607PubMed
13.
Zurück zum Zitat Ashizawa K (2005) Possible airflow around the needle in lung biopsy. AJR 185:553PubMed Ashizawa K (2005) Possible airflow around the needle in lung biopsy. AJR 185:553PubMed
14.
Zurück zum Zitat Evans DE, Kobrine AI, Weathersby PK et al (1981) Cardiovascular effects of cerebral air embolism. Stroke 12:338–344PubMed Evans DE, Kobrine AI, Weathersby PK et al (1981) Cardiovascular effects of cerebral air embolism. Stroke 12:338–344PubMed
15.
Zurück zum Zitat Muir KW, Buchan A, von Kummer R et al (2006) Imaging of acute stroke. Lancet Neurol 5:755–768PubMedCrossRef Muir KW, Buchan A, von Kummer R et al (2006) Imaging of acute stroke. Lancet Neurol 5:755–768PubMedCrossRef
16.
Zurück zum Zitat Kodama F, Ogawa T, Hashimoto M et al (1999) Fatal air embolism as a complication of CT-guided needle biopsy of the lung. J Computer Assist Tomogr 23:949–951CrossRef Kodama F, Ogawa T, Hashimoto M et al (1999) Fatal air embolism as a complication of CT-guided needle biopsy of the lung. J Computer Assist Tomogr 23:949–951CrossRef
17.
Zurück zum Zitat Hirasawa S, Hirasawa H, Taketomi-Takahashi A et al (2008) Air embolism detected during computed tomography fluoroscopically guided transthoracic needle biopsy. CardioVasc Interv Radiol 31:219–221CrossRef Hirasawa S, Hirasawa H, Taketomi-Takahashi A et al (2008) Air embolism detected during computed tomography fluoroscopically guided transthoracic needle biopsy. CardioVasc Interv Radiol 31:219–221CrossRef
18.
Zurück zum Zitat Mansour A, AbdelRaouf S, Qandeel M et al (2005) Acute coronary artery air embolism following CT-guided lung biopsy. CardioVasc Interv Radiol 28:131–134CrossRef Mansour A, AbdelRaouf S, Qandeel M et al (2005) Acute coronary artery air embolism following CT-guided lung biopsy. CardioVasc Interv Radiol 28:131–134CrossRef
20.
Zurück zum Zitat Mink RB, Dutka AJ (1995) Hyperbaric oxygen after global cerebral ischemia in rabbits reduces brain vascular permeability and blood flow. Stroke 26:2307–2312PubMed Mink RB, Dutka AJ (1995) Hyperbaric oxygen after global cerebral ischemia in rabbits reduces brain vascular permeability and blood flow. Stroke 26:2307–2312PubMed
21.
Zurück zum Zitat Buras JA, Reenstra WR (2007) Endothelial-neutrophil interactions during ischemia and reperfusion injury: basic mechanisms of hyperbaric oxygen. Neurol Res 29:127–131PubMedCrossRef Buras JA, Reenstra WR (2007) Endothelial-neutrophil interactions during ischemia and reperfusion injury: basic mechanisms of hyperbaric oxygen. Neurol Res 29:127–131PubMedCrossRef
22.
Zurück zum Zitat Smith RM, Van Hoesen KB, Neuman TS (1994) Arterial gas embolism and hemoconcentration. J Emerg Med 12:147–153PubMedCrossRef Smith RM, Van Hoesen KB, Neuman TS (1994) Arterial gas embolism and hemoconcentration. J Emerg Med 12:147–153PubMedCrossRef
23.
Zurück zum Zitat Arnold BW, Zwiebel WJ (2002) Percutaneous transthoracic needle biopsy complicated by air embolism. AJR 178:1400–1402PubMed Arnold BW, Zwiebel WJ (2002) Percutaneous transthoracic needle biopsy complicated by air embolism. AJR 178:1400–1402PubMed
Metadaten
Titel
When Coughing Can Cause Stroke—A Case-Based Update on Cerebral Air Embolism Complicating Biopsy of the Lung
verfasst von
Thomas Kau
Egon Rabitsch
Stefan Celedin
Sandra M. Habernig
Jörg R. Weber
Klaus A. Hausegger
Publikationsdatum
01.09.2008
Verlag
Springer-Verlag
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 5/2008
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-008-9339-z

Weitere Artikel der Ausgabe 5/2008

CardioVascular and Interventional Radiology 5/2008 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.