Transient ischemic attack due to iatrogenic air embolism secondary to intracavernous injections during an urologic procedure
PDF (Español)
XML (Español)

Keywords

Ischemic attack, transient
Embolism, air
Minor surgical procedures (MeSH)

Abstract

Here ia a case of transient ischemic attack with symptoms compatible with injury to the posterior cerebral circulation, secondary to iatrogenic air embolism. Clinical evolution and the most relevant aspects for the care and diagnosis of cerebrovascular stroke of the posterior circulation are described. Regarding air embolism, the diagnostic methods, clinical interventions, and available treatment options are described.

https://doi.org/10.22379/24224022380

PDF (Español)
XML (Español)

References

Gurley KL, Edlow JA. Diagnosis of patients with acute dizziness. Emerg Med Clin North Am. 2020;39(1):181-201. https://doi.org/10.1016/j.emc.2020.09.01.

Fries CC, Levowitz B, Adler S, Cook AW, Karlson KE, Dennis C. Experimental cerebral gas embolism. Ann Surg. 1957;145(4):461-70. https://doi.org/10.1097/00000658-195704000-00002.

Vélez-Leal JL. Embolismo aéreo venoso como causa insospechada de hipoxemia persistente en trauma craneofacial. Acta Colomb Cuid Intensivo. 2020;20(1):50-5. https://doi.org/10.1016/j.acci.2019.11.002.

Dudar BM, Kim HE. Massive air embolus treated with rheolytic thrombectomy. J Invasive Cardiol. 2007;19(7):1-5.

Lee JH, Yoon SH, Hong H, Rho JY, Goo JM. Incidence, risk factors, and prognostic indicators of symptomatic air embolism after percutaneous transthoracic lung biopsy: a systematic review and pooled analysis. Eur Radiol. 2021;31(4):2022-33. https://doi.org/10.1007/s00330-020-07372-w.

Bessereau J, Genotelle N, Chabbaut C, Huon A, Tabah A, Aboab J, et al. Long-term outcome of iatrogenic gas embolism. Intensive Care Med. 2010;36(7):1180-7. https://doi.org/10.1007/s00134-010-1821-9.

Brull SJ, Prielipp RC. Vascular air embolism: A silent hazard to patient safety. J Crit Care. 2017;42:255-63. https://doi.org/10.1016/j.jcrc.2017.08.010.

Pérez G, Manrique D, Lara O, Giraldo L, Celis J, Restrepo I, et al. Recomendaciones y consideraciones del Comité Vascular de la Asociación Colombiana de Neurología para el manejo del ataque cerebrovascular isquémico durante la pandemia por covid-19. Acta Neurol Colomb. 2020;36(3):168-84. https://doi.org/10.22379/24224022301.

Sparaco M, Ciolli L, Zini A. Posterior circulation ischaemic stroke-a review part I: anatomy, aetiology and clinical presentations. Neurol Sci. 2019;40(10):1995-2006. https://doi.org/10.1007/s10072-019-03977-2.

Nouh A, Remke J, Ruland S. Ischemic posterior circulation stroke: A review of anatomy, clinical presentations, diagnosis, and current management. Front Neurol. 2014;5:1-16. https://doi.org/10.3389/fneur.2014.00030.

Souders JE. Pulmonary air embolism. J Clin Monit Comput. 2000;16(5-6):375-83. https://doi.org/10.1023/A:1011455701892.

Butler BD, Hills BA. Transpulmonary passage of venous air emboli. J Appl Physiol. 1985;59(2):543-7. https://doi.org/10.1152/jappl.1985.59.2.543.

Barak M, Katz Y. Microbubbles: pathophysiology and clinical implications. Chest. 2005;128(4):2918-32. https://doi.org/10.1378/chest.128.4.2918.

Flick MR, Perel A, Staub NC. Leukocytes are required for increased lung microvascular permeability after microembolization in sheep. Circ Res. 1981;48(3):344-51. https://doi.org/10.1161/01.RES.48.3.344.

Clark MC, Flick MR. Permeability pulmonary edema caused by venous air embolism. Am Rev Respir Dis. 1984;129(4):633-5.

Malik N, Claus PL, Illman JE, Kligerman SJ, Moynagh MR, Levin DL, et al. Air embolism: Diagnosis and management. Future Cardiol. 2017;13(4):365-78. https://doi.org/10.2217/ fca-2017-0015.

Heckmann JG, Lang CJG, Kindler K, Huk W, Erbguth FJ, Neundórfer B. Neurologic manifestations of cerebral air embolism as a complication of central venous cath eterization. Crit Care Med. 2000;28(5):1621-5. https://doi.org/10.1097/00003246-200005000-00061

Marek A, Lele AV, Fitzsimmons L, Toung TJK. Diagnosis and treatment of vascular air embolism. Anaesthesiology. Anesthesiol J Am Soc Anesthesiol. 2007;106(1):164-77. http://anesthesiology.pubs.asahq.org/article.aspx?articleid=1923071.

McCarthy C, Behravesh S, Naidu S, Oklu R. Air embolism: diagnosis, clinical management and outcomes. Diagnostics. 2017;7(1):5. https://doi.org/10.3390/diagnostics7010005.

Sviri S, Woods WPD, van Heerden PV. Air embolism-a case series and review. Crit Care Resusc. 2004;6(4):271-6.

King MB, Harmon KR. Unusual forms of pulmonary embolism. Clin Chest Med. 1994;15(3):561-80.

Shaikh N, Ummunisa F. Acute management of vascular air embolism. J Emerg Trauma Shock. 2009;2(3):180. https://doi.org/10.4103/0974-2700.55330.

Gordy S, Rowell S. Vascular air embolism. Int J Crit Illn Inj Sci. 2013;3(1):73. https://doi.org/10.4103/2229-5151.109428.

Sparaco M, Ciolli L, Zini A. Posterior circulation ischemic stroke-a review part II: imaging and acute treatment. Neurol Sci. 2019;40(10):2007-15. https://doi.org/10.1007/s10072-019-03936-x.

Blanc P, Boussuges A, Henriette K, Sainty J, Deleflie M. Iatrogenic cerebral air embolism: Importance of an early hyperbaric oxygenation. Intensive Care Med. 2002;28(5):559-63. https://doi.org/10.1007/s00134-002-1255-0.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Downloads

Download data is not yet available.