ArticleJACC. Case reports2026
Robotic-Assisted Navigational Bronchoscopy Complicated by Systemic Air Embolism.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
8 authors.
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Abstract
backgroundRobotic-assisted bronchoscopy (RAB) is a minimally invasive modality with a highly favorable safety profile. Systemic air embolism (SAE) is an exceedingly rare and catastrophic complication that is only recently emerging in literature surrounding RAB. CASE SUMMARY: A 74-year-old woman undergoing RAB developed an immediate ST-elevation myocardial infarction, airway bleeding, and cardiac arrest. Angiography revealed nonobstructive coronary arteries but identified a massive air embolism in the left ventricular apex. Her hospital course was complicated by severe cerebral edema, seizures, and acute limb ischemia. DISCUSSION: We highlight a catastrophic instance of SAE resulting from RAB. We discuss its pathophysiology, imaging limitations, and the severe contraindications precluding hyperbaric oxygen therapy in patients with underlying structural lung disease. TAKE-HOME MESSAGES: SAE is a life-threatening RAB complication that can mimic acute coronary syndrome. Minimally invasive procedures carry fatal risks, especially in patients lacking the physiologic reserve to tolerate vital rescue treatments.
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