{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:06:02Z","timestamp":1753884362923,"version":"3.41.2"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJR|case reports"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> Air embolisms are mostly iatrogenic and a rare yet dreaded complication following percutaneous procedures. Intravascular entrapment of air can result in occlusion of end arteries and subsequent tissue ischemia and infarction. Cerebrovascular occlusions caused by air embolisms are time-sensitive and an uncommon cause of ischemic stroke, warranting an alternative acute management and reperfusion strategy. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> During a CT-guided lung biopsy, the patient developed left-sided paresis and sensory deficits prior to loss of consciousness. CT revealed air in the aorta, both ophthalmic arteries and vessels in the right parietal region. The patient was swiftly air-lifted to the nearest hyperbaric oxygen chamber for an alternate emergency reperfusion therapy. The following eight days the patient received hyperbaric oxygen therapy and gradually improved. Nine days after symptom onset he was discharged with a minor left facial palsy. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Cerebrovascular occlusions are critical events regardless of etiology. Air embolism is rare but potentially catastrophic and can occur during both percutaneous procedures and surgeries. Vigilance and knowledge of this potential complication are needed to rapidly provide beneficial treatment. That is, high flow oxygen and correct positioning pending hyperbaric oxygen therapy. <\/jats:p><\/jats:sec>","DOI":"10.1259\/bjrcr.20210201","type":"journal-article","created":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T15:37:59Z","timestamp":1643297879000},"source":"Crossref","is-referenced-by-count":1,"title":["Iatrogenic stroke caused by cerebral air embolism and acute reperfusion therapy using hyperbaric oxygen"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7592-3622","authenticated-orcid":false,"given":"Torbj\u00f8rn Austveg","family":"Str\u00f8msnes","sequence":"first","affiliation":[{"name":"Stroke unit, Department of Neurology, Oslo University Hospital, Oslo, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ine","family":"R\u00f8ed","sequence":"additional","affiliation":[{"name":"Unit for hyperbaric medicine, Department of Anaesthesiology, Oslo University Hospital, Oslo, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanna","family":"Str\u00f8m","sequence":"additional","affiliation":[{"name":"Department of Radiology, Elverum Hospital, Elverum, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajiv","family":"Advani","sequence":"additional","affiliation":[{"name":"Stroke unit, Department of Neurology, Oslo University Hospital, Oslo, Norway"},{"name":"Neuroscience Research Group, Stavanger University Hospital, Stavanger, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donata","family":"Biernat","sequence":"additional","affiliation":[{"name":"Department of Radiology, Oslo University Hospital, Oslo, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hege","family":"Ihle-Hansen","sequence":"additional","affiliation":[{"name":"Stroke unit, Department of Neurology, Oslo University Hospital, Oslo, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200002173420706"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-012-9683-3"},{"key":"b3","volume":"2017","author":"Judge C","year":"2017","journal-title":"Stroke Res Treat"},{"key":"b4","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-010-1821-9"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.55330"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1177\/2396987321989865"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.1177\/2396987319832140"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2016-012535.rep"},{"key":"b9","doi-asserted-by":"publisher","DOI":"10.1179\/016164107X174147"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181fbe2bf"},{"key":"b11","first-page":"247","volume":"41","author":"Camporesi EM","year":"2014","journal-title":"Undersea Hyperb Med"},{"key":"b12","first-page":"151","volume":"75","author":"Antonelli C","year":"2009","journal-title":"Minerva Anestesiol"},{"key":"b13","first-page":"15","volume":"46","author":"Beevor H","year":"2016","journal-title":"Diving Hyperb Med"}],"container-title":["BJR|case reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.birpublications.org\/doi\/pdf\/10.1259\/bjrcr.20210201","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T15:51:29Z","timestamp":1705074689000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjrcr\/article\/7243809"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1259\/bjrcr.20210201"],"URL":"https:\/\/doi.org\/10.1259\/bjrcr.20210201","relation":{},"ISSN":["2055-7159"],"issn-type":[{"type":"electronic","value":"2055-7159"}],"subject":[],"published":{"date-parts":[[2022,5]]},"article-number":"20210201"}}