Systemic air embolism during preoperative pulmonary marking with a short hook wire and suture system under CT fluoroscopy guidance

被引:29
作者
Iguchi, Toshihiro [1 ]
Yoshioka, Takashi [2 ]
Muro, Masahiko [2 ]
Miyasho, Kohji [3 ]
Inoue, Daisaku [1 ]
Hiraki, Takao [4 ]
Kanazawa, Susumu [4 ]
机构
[1] Fukuyama City Hosp, Dept Radiol, Fukuyama, Hiroshima 7218511, Japan
[2] Fukuyama City Hosp, Dept Surg, Fukuyama, Hiroshima 7218511, Japan
[3] Fukuyama City Hosp, Ctr Emergency Med, Fukuyama, Hiroshima, Japan
[4] Okayama Univ, Sch Med, Dept Radiol, Okayama 700, Japan
关键词
Air embolism; Video-assisted thoracoscopic surgery; Lung; Marking; Computed tomography; TRANSTHORACIC NEEDLE-BIOPSY; LOCALIZATION;
D O I
10.1007/s11604-009-0353-0
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
100231 [临床病理学]; 100902 [航空航天医学];
摘要
We encountered a case of systemic air embolism during preoperative pulmonary marking with a short hook wire and suture system under CT fluoroscopy guidance. The pulmonary tumor was present in the right S3, and the procedural position was supine. The patient experienced cardiac symptoms, and systemic air embolism was confirmed on CT images. With the patient in the Trendelenburg position, 100% oxygen was immediately administered as therapy for the embolism. Subsequently, the symptoms and systemic air embolism were resolved. The patient underwent video-assisted thoracoscopic wedge resection after 5 days and was then discharged without any sequelae.
引用
收藏
页码:385 / 388
页数:4
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