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Cerebral air embolism following the removal of a central venous catheter in the absence of intracardiac right-to-left shunting: a case report

 Da Hae Eum  ;  Seung Hwan Lee  ;  Hyung Won Kim  ;  Myung Jae Jung  ;  Jae Gil Lee 
 MEDICINE, Vol.94(13) : 630, 2015 
Journal Title
Issue Date
Aged ; Central Venous Catheters* ; Device Removal/adverse effects* ; Embolism, Air/etiology* ; Humans ; Intracranial Embolism/etiology* ; Male
Air embolism following central venous catheter (CVC) removal is a relatively uncommon complication. Despite its rare occurrence, an air embolism can lead to serious outcomes. One of the most fatal complications is cerebral air embolism. We report a case of cerebral air embolism that occurred after the removal of a CVC in a patient with an underlying idiopathic pulmonary fibrosis, subcutaneous emphysema, pneumomediastinum, and a possible intrapulmonary shunt. Although the patient had a brief period of recovery, his condition deteriorated again, and retention of carbon dioxide was sustained due to aggravation of pneumonia. Despite full coverage of antibiotics and maximum care with the ventilator, the patient died about 5 weeks after the removal of the CVC. We suggest that strict compliance to protocols is required even while removing the catheter. Furthermore, additional caution to avoid air embolism is demanded in high-risk patients, such as in this case.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyung Won(김형원)
Eum, Dahae(음다혜) ORCID logo https://orcid.org/0000-0003-0048-1476
Lee, Seung Hwan(이승환) ORCID logo https://orcid.org/0000-0001-7325-8262
Lee, Jae Gil(이재길) ORCID logo https://orcid.org/0000-0002-1148-8035
Jung, Myung Jae(정명재)
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