Gas embolism following bronchoscopic argon plasma coagulation: a case series

Chest. 2008 Nov;134(5):1066-1069. doi: 10.1378/chest.08-0474.

Abstract

Thermal ablation using argon plasma coagulation (APC) is a commonly used modality in the bronchoscopic management of central airway obstruction and hemoptysis. In experienced hands, APC is considered to be a relatively safe tool. Reported complications associated with APC use are rare and include hemorrhage, airway perforation, or airway fires. Systemic gas embolism has been reported with APC during laparoscopic hepatic surgeries, and we have reported one case of systemic gas embolism with cardiovascular collapse in the past. We now report the first case series of systemic, life-threatening gas embolism occurring as a complication of bronchoscopic application of APC.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Bronchoscopy / adverse effects*
  • Echocardiography, Transesophageal
  • Embolism, Air / diagnosis
  • Embolism, Air / etiology*
  • Fatal Outcome
  • Female
  • Humans
  • Laser Coagulation / adverse effects*
  • Laser Coagulation / methods
  • Lasers, Solid-State / therapeutic use*
  • Lung Neoplasms / surgery*
  • Middle Aged