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Updated: Jun 18, 2026

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Published on: January 30, 2026
Systemic air embolism during preoperative pulmonary marking with a short hook wire and suture system under CT
Toshihiro Iguchi1, Takashi Yoshioka, Masahiko Muro
1Department of Radiology, Fukuyama City Hospital, 5-23-1 Zao-cho, Fukuyama, 721-8511, Japan. iguchi@ba2.so-net.ne.jp
Abstract:
We encountered a case of systemic air embolism during preoperative pulmonary marking with a short hook wire and suture system under CT fluoroscopy guidance. The pulmonary tumor was present in the right S3, and the procedural position was supine. The patient experienced cardiac symptoms, and systemic air embolism was confirmed on CT images. With the patient in the Trendelenburg position, 100% oxygen was immediately administered as therapy for the embolism. Subsequently, the symptoms and systemic air embolism were resolved. The patient underwent video-assisted thoracoscopic wedge resection after 5 days and was then discharged without any sequelae.
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