Cerebral gas embolism from bronchoscopic argon plasma coagulation: a case report. 2012

Yasmeen Shaw, and Ken Y Yoneda, and Andrew L Chan
Division of Pulmonary, Critical Care and Sleep Medicine, University of California, Davis Medical Center and Veterans Affairs Northern California Health Care System, Sacramento, Calif., USA. yasmeen.shaw@ucdmc.ucdavis.edu

Argon plasma coagulation (APC) is a common and safe bronchoscopic technique used in the management of obstructing lesions and hemorrhage in the central airways. Complications of bronchoscopic APC are uncommon and include hemorrhage, perforation and fire in the airways. While bronchoscopic APC has been reported to cause systemic gas embolization and associated cardiovascular collapse, we report a case of cerebral gas embolization that occurred during bronchoscopic APC and highlight underappreciated potential risk factors for its occurrence.

UI MeSH Term Description Entries
D010212 Papilloma A circumscribed benign epithelial tumor projecting from the surrounding surface; more precisely, a benign epithelial neoplasm consisting of villous or arborescent outgrowths of fibrovascular stroma covered by neoplastic cells. (Stedman, 25th ed) Papilloma, Squamous Cell,Papillomatosis,Papillomas,Papillomas, Squamous Cell,Papillomatoses,Squamous Cell Papilloma,Squamous Cell Papillomas
D001984 Bronchial Neoplasms Tumors or cancer of the BRONCHI. Neoplasms, Bronchial,Bronchial Neoplasm,Neoplasm, Bronchial
D004618 Embolism, Air Blocking of a blood vessel by air bubbles that enter the circulatory system, usually after TRAUMA; surgical procedures, or changes in atmospheric pressure. Air Embolism,Embolism, Gas,Air Embolisms,Embolisms, Air,Embolisms, Gas,Gas Embolism,Gas Embolisms
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D057908 Argon Plasma Coagulation A method of tissue ablation and bleeding control that uses ARGON plasma (ionized argon gas) to deliver a current of thermocoagulating energy to the area of tissue to be coagulated. Argon Beam Coagulation,Beam Coagulation, Argon,Coagulation, Argon Beam,Coagulation, Argon Plasma,Plasma Coagulation, Argon
D020766 Intracranial Embolism Blocking of a blood vessel in the SKULL by an EMBOLUS which can be a blood clot (THROMBUS) or other undissolved material in the blood stream. Most emboli are of cardiac origin and are associated with HEART DISEASES. Other non-cardiac sources of emboli are usually associated with VASCULAR DISEASES. Brain Embolism,Cerebral Embolism,Embolism, Brain,Embolism, Intracranial,Brain Emboli,Cerebral Emboli,Brain Embolus,Cerebral Embolus,Emboli, Brain,Emboli, Cerebral,Embolism, Cerebral,Embolus, Brain,Embolus, Cerebral

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