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Management of Complications in IR: Systemic Air Embolism following CT-Guided Percutaneous Core Needle Biopsy of the Lung: Case Report and Review of the Literature

机译:IR并发症的处理:CT引导的经皮肺穿刺活检后的全身空气栓塞:病例报告和文献复习

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摘要

Systemic air embolism (SAE) is a rare but serious complication of percutaneous core needle biopsy (PCNB) of the lung. Incidence of clinically apparent SAE is estimated at 0.061%, while clinically silent SAE may be as high as 3.8%. We present the complication of a small SAE during PCNB of the lung in a 78-year-old patient, which resulted in a transient myocardial ischemic event. This case highlights the importance of understanding the mechanism, frequency, and management of rare complications of PCNB of the lung; these complications should be considered in preoperative risk stratification. Regarding evaluation of postbiopsy computed tomography, operators should utilize a systematic search pattern to assess for complications.
机译:全身性空气栓塞(SAE)是一种罕见的但严重的肺经皮穿刺活检(PCNB)并发症。临床上明显的SAE发生率估计为0.061%,而临床上沉默的SAE可能高达3.8%。我们介绍了一名78岁患者的肺PCNB期间小SAE的并发症,这导致了短暂性心肌缺血事件。这个案例突出了了解肺部PCNB罕见并发症的机制,频率和管理的重要性;这些并发症应在术前危险分层中考虑。关于活检后计算机断层扫描的评估,操作人员应利用系统的搜索模式来评估并发症。

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