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J Korean Soc Emerg Med > Volume 28(4); 2017 > Article
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,
Received: May 17, 2017; Revised: May 18, 2017   Accepted: July 6, 2017.  Published online: August 31, 2017.
ABSTRACT
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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