Evidence map›Paper›PMID 41322061›Full record

ArticleCase reports in neurology

Cerebral Air Embolism Causing Cerebrovascular Accident after CT-Guided Needle Lung Biopsy.

Lucille J Wilkinson, Nick Kostrubsky, Cassie Crain Norris, Dilip Arcot, Samuel Crayton, Prathap Kumar Simhadri

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In one paragraph

Article in Case reports in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lucille J WilkinsonCollege of Medicine, Florida State University, Daytona Beach, FL, USA.
Nick KostrubskyCollege of Medicine, Florida State University, Daytona Beach, FL, USA.
Cassie Crain NorrisIntensive Care Unit, Advent Health, Daytona Beach, FL, USA.
Dilip ArcotDepartment of Medicine, Advent Health, Daytona Beach, FL, USA.
Samuel CraytonDepartment of Radiology, Advent Health, Daytona Beach, FL, USA.
Prathap Kumar SimhadriDepartment of Medicine, Advent Health/FSU College of Medicine, Daytona Beach, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: A CT-guided lung biopsy is a procedure to obtain tissue samples for lesion characterization and staging, but a rare and dangerous complication is a cerebral and systemic air embolism, which can cause ischemic organ damage. Case Presentation: We report a case of a 62-year-old male with adenocarcinoma of the right lung who underwent a CT-guided lung biopsy to assess for small cell transformation. During the final biopsy attempt, a suctioning sound was heard from the needle tip, and the patient immediately became unresponsive, experiencing hypotension, tachycardia, and hypopnea. Non-contrast CT showed intracranial and subcutaneous air emboli. The patient was intubated and transferred to the ICU, where he received hyperoxygenation therapy. Conclusion: This case highlights that cerebral air embolism, although rare, can be a severe complication of CT-guided lung biopsy. Prompt recognition and treatment are essential for positive outcomes. As image-guided procedures increase, such cases may become more common, requiring further research.

Indexed as

AirBiopsyCritical careEmbolismIntubationLung neoplasms

Identifiers

PMID41322061
PMCPMC12659598

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