{Reference Type}: Case Reports
{Title}: Cerebral arterial air embolism after computed tomography-guided hook-wire localization of a pulmonary nodule: A case report.
{Author}: Wang MY;Liu YS;An XB;Li K;Liu YJ;Wang F;
{Journal}: Medicine (Baltimore)
{Volume}: 98
{Issue}: 18
{Year}: May 2019
{Factor}: 1.817
{DOI}: 10.1097/MD.0000000000015437
{Abstract}: <B>BACKGROUND: </B>Cranial arterial air embolism is a rare but potentially fatal complication after computed tomography (CT)-guided pulmonary interventions.<BR><B>METHODS: </B>A 64-year-old man was diagnosed with a pulmonary nodule (diameter: approximately 1 cm) in the right lower lobe. The patient developed convulsions after CT-guided hook-wire localization.<BR><B>METHODS: </B>Cranial CT revealed arborizing/linearly distributed gas in the territory of the right middle cerebral artery.<BR><B>METHODS: </B>The patient was administered hyperbaric oxygen, antiplatelet aggregation therapy, and dehydration treatment.<BR><B>RESULTS: </B>Clinical death occurred 55 hours after air embolism.<BR><B>CONCLUSIONS: </B>Systemic air embolism is a serious complication of lung puncture. Clinicians should improve their understanding of this complication and remain vigilant against air embolism.