| Asymptomatic paradoxical and symptomatic pulmonary air embolism during central venous catheter insertion. | |
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MedLine Citation:
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PMID: 20661699 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 65-year-old man developed respiratory distress during insertion of a central venous catheter (CVC). The presence of gas in the pulmonary trunk and ascending aorta was observed on computed tomography (CT) scans performed immediately after insertion, and paradoxical air embolism (PAE) was diagnosed. There were no symptoms of cerebral or coronary arterial embolism, and the patient was maintained in the same supine position as during CVC insertion. CT conducted after 200 min confirmed disappearance of the gas, and the resting position was discontinued. No subsequent symptoms of PAE occurred. In this patient with respiratory distress during CVC insertion, CT revealed PAE, and PAE was resolved and systemic arterial embolism did not occur by maintenance of the supine position and O(2) administration. This case also highlights the potential risk for the occurrence of asymptomatic PAE related to CVC insertion. |
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Authors:
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Shuji Kariya; Noboru Tanigawa; Atsushi Komemushi; Miyuki Nakatani; Satoshi Suzuki; Hiroyuki Kojima; Minoru Kamata; Satoshi Sawada |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-07-27 |
Journal Detail:
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Title: Japanese journal of radiology Volume: 28 ISSN: 1867-108X ISO Abbreviation: Jpn J Radiol Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-27 Completed Date: 2010-11-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101490689 Medline TA: Jpn J Radiol Country: Japan |
Other Details:
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Languages: eng Pagination: 473-5 Citation Subset: IM |
Affiliation:
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Department of Radiology, Kansai Medical University, 2-3-1 Shinmachi, Hirakata, 573-1191, Japan. shuuji@ops.dti.ne.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Catheterization, Central Venous / adverse effects* Embolism, Air / diagnosis*, etiology*, therapy Humans Male Pulmonary Artery / radiography Pulmonary Embolism / diagnosis*, etiology*, therapy Supine Position Tomography, X-Ray Computed / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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