Division of Pulmonary, Critical Care and Sleep Medicine, University of California, Davis Medical Center and Veterans Affairs Northern California Health Care System, Sacramento, Calif., USA.
Respiration. 2012;83(3):267-70. doi: 10.1159/000328939. Epub 2011 Aug 4.
Argon plasma coagulation (APC) is a common and safe bronchoscopic technique used in the management of obstructing lesions and hemorrhage in the central airways. Complications of bronchoscopic APC are uncommon and include hemorrhage, perforation and fire in the airways. While bronchoscopic APC has been reported to cause systemic gas embolization and associated cardiovascular collapse, we report a case of cerebral gas embolization that occurred during bronchoscopic APC and highlight underappreciated potential risk factors for its occurrence.
氩等离子凝固术(APC)是一种常见且安全的支气管镜技术,用于治疗中央气道阻塞性病变和出血。支气管镜 APC 的并发症并不常见,包括出血、穿孔和气道内着火。虽然有报道称支气管镜 APC 可引起全身气体栓塞和相关心血管崩溃,但我们报告了一例在支气管镜 APC 期间发生的脑气体栓塞病例,并强调了其发生的潜在被低估的危险因素。