移除经皮鞘导入器后的脑动脉和静脉空气栓塞。

Q4 Biochemistry, Genetics and Molecular Biology Prague medical report Pub Date : 2024-01-01 DOI:10.14712/23362936.2024.24

Sana Ghalib, Biplab K Saha, Hau Chieng, Scott H Beegle

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摘要

移除中心静脉导管（CVC）后发生脑空气栓塞是一种罕见的并发症，但可导致致命后果。我们报告了一例罕见病例，患者患有硬皮病相关间质性肺病（SSc-ILD）和肺动脉高压，在拔除经皮导入鞘进行肺动脉导管插入术后同时发生脑静脉和动脉栓塞。我们讨论了脑空气栓塞的机制、病理生理学、处理和预防。

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Cerebral Arterial and Venous Air Embolism Following Removal of Percutaneous Sheath Introducer.

Cerebral air embolism after removal of central venous catheter (CVC) is a rare complication but can lead to fatal outcomes. We report a rare case of both cerebral venous and arterial embolism occurring in a patient with underlying scleroderma-related interstitial lung disease (SSc-ILD) and pulmonary hypertension following removal of percutaneous introducer sheath for pulmonary artery catheterization. We discuss the mechanisms, pathophysiology, management and prevention of cerebral air embolism.

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