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Case Reports
. 2009 Nov;27(9):385-8.
doi: 10.1007/s11604-009-0353-0. Epub 2009 Nov 27.

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

Toshihiro Iguchi  1 , Takashi Yoshioka, Masahiko Muro, Kohji Miyasho, Daisaku Inoue, Takao Hiraki, Susumu Kanazawa
Affiliations
Case Reports

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

Toshihiro Iguchi et al. Jpn J Radiol. 2009 Nov.

Abstract

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.

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