폐 경피세침흡인생검 후 발생한 뇌 및 관상동맥 공기색전증

Cerebral and Coronary Air Embolism after Percutaneous Needle Aspiration Biopsy of Lung

초록

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.

키워드

Embolism; Air; Intracranial embolism; Biopsy; Needle
제목
폐 경피세침흡인생검 후 발생한 뇌 및 관상동맥 공기색전증
제목 (타언어)
Cerebral and Coronary Air Embolism after Percutaneous Needle Aspiration Biopsy of Lung
저자
신명철; 옥택근; 조준휘; 문중범; 박찬우; 김가을; 양고은; 이희영
발행일
2017-08
유형
Y
저널명
대한응급의학회지
권
28
호
4
페이지
395 ~ 398