Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/17135
Title: Cerebral arterial gas embolism from attempted mechanical thrombectomy: recovery following hyperbaric oxygen therapy.
Authors: Segan, Louise;Permezel, Fiona;Ch'ng, Wei;Millar, Ian;Brooks, Mark;Lee-Archer, Matt;Cloud, Geoffrey
Affiliation: Department of Stroke Services, Alfred Hospital, Melbourne, Victoria, Australia
Department of Neurology, Austin Health, Heidelberg, Victoria, Australia
Department of Intensive Care and Hyperbaric Medicine, Alfred Hospital, Melbourne, Victoria, Australia
Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia
Department of Interventional Radiology, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 28-Dec-2017
EDate: 2017-12-28
Citation: Practical neurology 2017; online first: 28 December
Abstract: Cerebral arterial gas embolism is a recognised complication of endovascular intervention with an estimated incidence of 0.08%. Its diagnosis is predominantly clinical, supported by neuroimaging. The treatment relies on alleviating mechanical obstruction and reversing the proinflammatory processes that contribute to tissue ischaemia. Hyperbaric oxygen therapy is an effective treatment and has multiple mechanisms to reverse the pathological processes involved in cerebral arterial gas embolism. Symptomatic cerebral arterial gas embolism is a rare complication of endovascular intervention for acute ischaemic stroke. Although there are no previous descriptions of its successful treatment with hyperbaric oxygen therapy following mechanical thrombectomy, this is likely to become more common as mechanical thrombectomy is increasingly used worldwide to treat acute ischaemic stroke.
URI: http://ahro.austin.org.au/austinjspui/handle/1/17135
DOI: 10.1136/practneurol-2017-001828
PubMed URL: https://www.ncbi.nlm.nih.gov/pubmed/29288212
Type: Journal Article
Subjects: cerebral blood flow
cerebrovascular disease
interventional
stroke
Appears in Collections:Journal articles

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