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Journal of The Korean Society of Emergency Medicine 2017;28(4): 395-398. |
| 폐 경피세침흡인생검 후 발생한 뇌 및 관상동맥 공기색전증 |
| 신명철1, 옥택근1, 조준휘1, 문중범1, 박잔우1, 김가을1, 양고은2, 이희영3 |
1강원대학교병원 응급의학과
2강원대학교병원 영상의학과
3강원대학교병원 내과 |
| Cerebral and Coronary Air Embolism after Percutaneous Needle Aspiration Biopsy of Lung |
| Myung Chul Shin1, Taek Geun Ohk1, Jun Hwi Cho1, Joong Beom Moon1, Chan Woo Park1, Ka Eul Kim1, Go Eun Yang2, Hui Young Lee3 |
1Department of Emergency Medicine, Kangwon National University Hospital, Chuncheon, Korea
2Department of Radiology, Kangwon National University Hospital, Chuncheon, Korea
3Department of Internal Medicine, Kangwon National University Hospital, Chuncheon, Korea |
| Correspondence |
Taek Geun Ohk ,Tel: 033-258-2438, Fax: 033-258-2451, Email: otgotg11@gmail.com,
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Received: May 17, 2017; Revised: May 18, 2017 Accepted: July 6, 2017. Published online: August 31, 2017. |
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| ABSTRACT |
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Percutaneous needle aspiration biopsy is a relatively simple and safe procedure for the diagnosis of lung and mediastinal lesions. Systemic air embolism during and after percutaneous needle aspiration biopsy of the lung is very rare; however, it is still a complication that can cause fatal outcomes, such as cerebral infarction and myocardial infarction. Here, we report a 72-year-old woman who suffered a change in consciousness immediately after receiving a percutaneous needle aspiration biopsy for the pathologic examination of pulmonary nodules found during a routine health medical examination. She had left side weakness and ST segment elevation on an electrocardiogram. After a high concentration of oxygen, she recovered from neurological symptoms and electrocardiographic abnormalities. The authors report a case of air embolism occurring simultaneously in the brain and coronary arteries after percutaneous needle aspiration biopsy. |
| Key words:
Embolism, Air, Intracranial embolism, Biopsy, Needle |
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