经皮肺活检后发生的系统性空气栓塞：一种可处理的并发症。
Systemic Air Embolism after Percutaneous Lung Biopsy: A Manageable Complication.
作者信息
Fiore Lucas, Frenk Nathan Elie, Martins Guilherme Lopes Pinheiro, Viana Publio Cesar Cavalcante, de Menezes Marcos Roberto
机构信息
Radiology and Image Guided Intervention Service, Instituto do Câncer do Estado de São Paulo, University of São Paulo, São Paulo, Brazil.
Radiology Department, Hospital das Clínicas, University of São Paulo, Sao Paulo, Brazil.
出版信息
J Radiol Case Rep. 2017 Jun 30;11(6):6-14. doi: 10.3941/jrcr.v11i6.2990. eCollection 2017 Jun.
Abstract
CT-guided percutaneous biopsy is a resourceful and widely used tool to evaluate pulmonary nodules that frequently avoids costly and unnecessary surgeries. Severe complications occur in less than 1% of cases and include gas embolism, which is rarely documented. We report a case of gas embolism after transthoracic biopsies and discuss the pathophysiology and the benefits of early diagnosis and proper management.
摘要
CT引导下经皮穿刺活检是一种行之有效的、广泛应用于评估肺结节的工具，它常常能避免代价高昂且不必要的手术。严重并发症的发生率低于1%，包括气体栓塞，而气体栓塞很少有文献记载。我们报告了1例经胸活检后发生气体栓塞的病例，并讨论其病理生理学以及早期诊断和妥善处理的益处。
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本文引用的文献
1
Spectral detector CT-derived virtual non-contrast images: comparison of attenuation values with unenhanced CT.
Abdom Radiol (NY). 2017 Mar;42(3):702-709. doi: 10.1007/s00261-016-1036-9.
2
Influenceable and Avoidable Risk Factors for Systemic Air Embolism due to Percutaneous CT-Guided Lung Biopsy: Patient Positioning and Coaxial Biopsy Technique-Case Report, Systematic Literature Review, and a Technical Note.
Radiol Res Pract. 2014;2014:349062. doi: 10.1155/2014/349062. Epub 2014 Nov 10.
3
Pneumothorax after transthoracic needle biopsy of lung lesions under CT guidance.
J Thorac Dis. 2014 Mar;6 Suppl 1(Suppl 1):S99-S107. doi: 10.3978/j.issn.2072-1439.2013.12.08.
4
Massive air embolism after lung biopsy.
Circulation. 2014 Mar 4;129(9):1046-7. doi: 10.1161/CIRCULATIONAHA.113.004241.
5
Risk factors for systemic air embolism as a complication of percutaneous CT-guided lung biopsy: multicenter case-control study.
Cardiovasc Intervent Radiol. 2014 Oct;37(5):1312-20. doi: 10.1007/s00270-013-0808-7. Epub 2013 Dec 19.
6
Percutaneous CT-guided aspiration and core biopsy of pulmonary nodules smaller than 1 cm: analysis of outcomes of 305 procedures from a tertiary referral center.
AJR Am J Roentgenol. 2013 Nov;201(5):964-70. doi: 10.2214/AJR.12.10156.
7
Results of initial low-dose computed tomographic screening for lung cancer.
N Engl J Med. 2013 May 23;368(21):1980-91. doi: 10.1056/NEJMoa1209120.
8
Pulmonary and cerebral fat embolism syndrome after total knee replacement.
J Clin Med Res. 2013 Jun;5(3):239-42. doi: 10.4021/jocmr1251w. Epub 2013 Apr 23.
9
Systemic air embolism during percutaneous core needle biopsy of the lung: frequency and risk factors.
BMC Pulm Med. 2012 Feb 6;12:2. doi: 10.1186/1471-2466-12-2.
10
Complications of CT-guided percutaneous needle biopsy of the chest: prevention and management.
AJR Am J Roentgenol. 2011 Jun;196(6):W678-82. doi: 10.2214/AJR.10.4659.
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