Yang Cunli, Ong Shao J, Loh Stanley E, Anil Gopinathan
Radiology, National University Hospital, Singapore, SGP.
Radiology, National University of Singapore, Singapore, SGP.
Cureus. 2023 Jan 1;15(1):e33205. doi: 10.7759/cureus.33205. eCollection 2023 Jan.
Computed tomography (CT)-guided percutaneous core needle biopsy of the lung is a frequently performed interventional radiological procedure. Most complications are minor and self-resolving. However, a rare but potentially fatal complication is that of systemic air embolism, especially when to the cerebral or coronary arteries. This study reports a case of delayed (12 hours after initial biopsy) air embolism in the cerebral arteries that resulted from an otherwise uncomplicated biopsy of a lung nodule. It is vital for early diagnostic confirmation and appropriate treatment if possible, though maximal efforts at prevention are still recommended.
计算机断层扫描（CT）引导下经皮肺穿刺活检是一种常用的介入放射学检查方法。大多数并发症较轻微且可自行缓解。然而，一种罕见但可能致命的并发症是系统性空气栓塞，尤其是栓塞至脑动脉或冠状动脉时。本研究报告了一例在肺结节穿刺活检未出现其他并发症的情况下，发生延迟性（首次活检后12小时）脑动脉空气栓塞的病例。尽早进行诊断确认并尽可能给予恰当治疗至关重要，不过仍建议全力做好预防工作。
