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Case Reports
. 2006 Aug;17(8):1355-8.
doi: 10.1097/01.RVI.0000231949.35479.89.

Massive systemic air embolism treated with hyperbaric oxygen therapy following CT-guided transthoracic needle biopsy of a pulmonary nodule

Grant Lattin Jr  1 , William O'Brien Sr, Brian McCrary, Patrick Kearney, David Gover
Affiliations
Case Reports

Massive systemic air embolism treated with hyperbaric oxygen therapy following CT-guided transthoracic needle biopsy of a pulmonary nodule

Grant Lattin Jr et al. J Vasc Interv Radiol. 2006 Aug.

Abstract

A rare complication of computed tomography (CT)-guided biopsies of pulmonary lesions is systemic air embolism, with hyperbaric oxygen therapy being considered the mainstay of therapy. The authors describe the case of a 47-year-old man with a left upper lobe mass invading the chest wall who underwent CT-guided needle biopsy of a right lung base nodule to evaluate for metastatic disease. This procedure was complicated by massive systemic air embolism confirmed by CT scan. After initial resuscitative measures, the patient received on-site hyperbaric oxygen therapy and demonstrated no residual clinical sequelae from this complication.

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