ReviewBMC pulmonary medicine2021
Cerebral arterial air embolism after endobronchial electrocautery: a case report and review of the literature.
Review in BMC pulmonary medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 5 citations in OpenAlex.
- Cerebral air embolism in interventional pulmonology.Frontiers in medicine · 2026Review
- Acute neurologic crisis after bronchoscopic biopsy: Carcinoid-like presentation of pulmonary mucoepidermoid carcinoma.Respiratory medicine case reports · 2026Article
- Air embolism in the skull and spine as a result of a pulmonary space-occupying lesion biopsy via percutaneous puncture: a case report.BMC pulmonary medicine · 2025Article
- Using stent thrombectomy to cure middle cerebral artery air embolism.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024Article
- Microbiome-gut-brain axis contributes to patients and Bama miniature pigs with acute large ischemic stroke.Frontiers in neuroscience · 2024Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEndobronchial electrocautery is a common and safe therapeutic endoscopic treatment for malignant airway obstruction. Cerebral arterial air embolism (CAAE) is a rare but potentially fatal complication of endobronchial electrocautery. CASE PRESENTATION: We present the first case of cerebral arterial air embolism after endobronchial electrocautery. A 56-year-old male with a pulmonary tumour in the right upper lobe received repeated endobronchial electrocautery. During the procedure, he experienced unresponsiveness, hypoxemia and bradycardia, and he developed tetraplegia. Brain computed tomography showed several cerebral arterial air emboli with low-density spots in the right frontal lobe. He received hyperbaric oxygen therapy with almost full recovery, except for residual left-sided weakness.
conclusionsGeneral physicians should realize that CAAE may be a possible complication of endobronchial electrocautery. Several measures, including avoiding positive pressure, lowering ventilatory pressures if possible, avoiding advancing the bronchoscope to occlude the bronchus and using the non-contact technique, should be used to prevent this devastating complication.
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