Division of Pulmonary and Critical Care Medicine, Department of Medicine, Albany Medical College, Albany, New York, USA.
Division of Pulmonary and Critical Care Medicine, Ozarks Medical Center, West Plains, Missouri, USA.
Prague Med Rep. 2024;125(3):264-272. doi: 10.14712/23362936.2024.24.
Cerebral air embolism after removal of central venous catheter (CVC) is a rare complication but can lead to fatal outcomes. We report a rare case of both cerebral venous and arterial embolism occurring in a patient with underlying scleroderma-related interstitial lung disease (SSc-ILD) and pulmonary hypertension following removal of percutaneous introducer sheath for pulmonary artery catheterization. We discuss the mechanisms, pathophysiology, management and prevention of cerebral air embolism.
中心静脉导管（CVC）拔除后发生脑空气栓塞较为罕见，但可导致致命后果。我们报告了一例罕见病例，在一名患有硬皮病相关间质性肺病（SSc-ILD）和肺动脉高压的患者中，在拔除肺动脉导管经皮导入鞘后发生脑静脉和动脉栓塞。我们讨论了脑空气栓塞的机制、病理生理学、处理和预防。
