Prague Med. Rep. 2024, 125, 264-272

https://doi.org/10.14712/23362936.2024.24

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

Sana Ghalib1, Biplab K. Saha2, Hau Chieng3, Scott H. Beegle1

1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Albany Medical College, Albany, New York, USA
2Division of Pulmonary and Critical Care Medicine, Ozarks Medical Center, West Plains, Missouri, USA
3Division of Pulmonary and Critical Care Medicine, St. Peter’s Health Partners, Troy, New York, USA

Received July 12, 2022
Accepted July 28, 2024

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.

References

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