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. 2017 Jun 30;11(6):6–14. doi: 10.3941/jrcr.v11i6.2990

Table 1.

Summary table for Systemic Air Embolism after Percutaneous Lung Biopsy.

Etiology Systemic air embolism after percutaneous lung biopsy.
Incidence 0,02 to 0,4%.
Presumed Risk factors
  • -Positive end-expiratory pressure ventilation.

  • -Coughing during biopsy.

  • -Obstructive pulmonary disease with air trapping.

  • -Prone position during biopsy.

  • -Large caliber biopsy needle.

Treatment
  • -Stop the procedure.

  • -Ready cardiopulmonary resuscitation procedures.

  • -Warn the rapid response team.

  • -Place patient in right lateral decubitus.

  • -Supply oxygen at 100%.

  • -If available, arrange placement in a hyperbaric chamber within 4–6 hours.

  • -Perform control CT scans that include the biopsied region, heart and great vessels (although these measures should never delay emergency procedures).

Prognosis Majority of cases reported in literature are non-fatal, with full recoveries.
Findings on imaging Intravascular and intracardiac air.