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Massive systemic air embolism treated with hyperbaric oxygen therapy following CT-guided transthoracic needle biopsy of a pulmonary nodule.

Title: Massive systemic air embolism treated with hyperbaric oxygen therapy following CT-guided transthoracic needle biopsy of a pulmonary nodule.
Authors: Lattin G Jr; Department of Radiology, David Grant USAF Medical Center, 101 Bodin Circle, Travis AFB, CA 94535-1800, USA. grant.lattin@travis.af.mil; O'Brien W Sr; McCrary B; Kearney P; Gover D
Source: Journal of vascular and interventional radiology : JVIR [J Vasc Interv Radiol] 2006 Aug; Vol. 17 (8), pp. 1355-8.
Publication Type: Case Reports; Journal Article
Language: English
Journal Info: Publisher: Society of Cardiovascular and Interventional Radiology Country of Publication: United States NLM ID: 9203369 Publication Model: Print Cited Medium: Print ISSN: 1051-0443 (Print) Linking ISSN: 10510443 NLM ISO Abbreviation: J Vasc Interv Radiol Subsets: MEDLINE
Imprint Name(s): Original Publication: Reston, Va. : Society of Cardiovascular and Interventional Radiology, c1990-
MeSH Terms: Hyperbaric Oxygenation* ; Tomography, X-Ray Computed*; Biopsy, Needle/*adverse effects ; Embolism, Air/*therapy ; Solitary Pulmonary Nodule/*pathology; Biopsy, Needle/methods ; Embolism, Air/etiology ; Solitary Pulmonary Nodule/diagnostic imaging ; Humans ; Male ; Middle Aged ; Treatment Outcome
Abstract: A rare complication of computed tomography (CT)-guided biopsies of pulmonary lesions is systemic air embolism, with hyperbaric oxygen therapy being considered the mainstay of therapy. The authors describe the case of a 47-year-old man with a left upper lobe mass invading the chest wall who underwent CT-guided needle biopsy of a right lung base nodule to evaluate for metastatic disease. This procedure was complicated by massive systemic air embolism confirmed by CT scan. After initial resuscitative measures, the patient received on-site hyperbaric oxygen therapy and demonstrated no residual clinical sequelae from this complication.
Entry Date(s): Date Created: 20060823 Date Completed: 20061207 Latest Revision: 20220408
Update Code: 20260130
DOI: 10.1097/01.RVI.0000231949.35479.89
PMID: 16923984
Database: MEDLINE

Case Reports; Journal Article