Acute Ischaemic Stroke by a Different Mechanism
  • Mohammad Abu-Abaa
    Internal Medicine, Capital Health Regional Medical Center, Trenton, NJ, USA
  • Ghassan Dawood
    Internal Medicine, Capital Health Regional Medical Center, Trenton, NJ, USA
  • Hassan Arshad
    Internal Medicine, Capital Health Regional Medical Center, Trenton, NJ, USA
  • Aliaa Mousa
    Internal Medicine, Capital Health Regional Medical Center, Trenton, NJ, USA
  • Omar Jumaah
    Internal Medicine, Capital Health Regional Medical Center, Trenton, NJ, USA

Keywords

Air embolism, stroke, central venous line

Abstract

Central venous lines are often inserted but their removal requires some precautions. We describe a 51-year-old female patient who was due for discharge but had an unfortunate event arising from removal of her central venous line even though the appropriate measures had been taken. She experienced an acute ischaemic stroke secondary to air embolism. The deficits persisted even though extensive efforts were made to reverse them. This case reminds clinicians that bedside procedures can result in devastating complications even if all precautions have been followed. We review the mechanisms of air embolism, provide suggestions to limit its incidence following central line removal, and recommend therapeutic measures.

VIEW THE ENTIRE ARTICLE

References

  • Suri V, Gupta R, Sharma G, Suri K. An unusual cause of ischemic stroke - cerebral air embolism. Ann Indian Acad Neurol 2014 Jan;17(1):89–91. doi: 10.4103/0972-2327.128562. PMID: 24753668; PMCID: PMC3992779.
  • Murphy BP, Harford FJ, Cramer FS. Cerebral air embolism resulting from invasive medical procedures. Treatment with hyperbaric oxygen. Ann Surg 1985;201:242–245.
  • Wherrett CG, Mehran RJ, Beaulieu MA. Cerebral arterial gas embolism following diagnostic bronchoscopy: delayed treatment with hyperbaric oxygen. Can J Anaesth 2002;49:96–99. doi: 10.1007/BF03020427
  • McCarthy CJ, Behravesh S, Naidu SG, Oklu R. Air embolism: practical tips for prevention and treatment. J Clin Med 2016 Oct 31;5(11):93. doi: 10.3390/jcm5110093. PMID: 27809224; PMCID: PMC5126790.
  • Boer WH, Hene RJ. Lethal air embolism following removal of a double lumen jugular vein catheter. Nephrol Dial Transplant 1999;14(8):1850–1852.
  • Views: 307
    HTML downloads: 53
    PDF downloads: 157


    Published: 2022-10-13
    Issue: 2022: Vol 9 No 10 (view)


    How to cite:
    1.
    Abu-Abaa M, Dawood G, Arshad H, Mousa A, Jumaah O. Acute Ischaemic Stroke by a Different Mechanism. EJCRIM 2022;9 doi:10.12890/2022_003618.