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Acute Ischaemic Stroke by a Different Mechanism.
Mohammad Abu-Abaa1, Ghassan Dawood1, Hassaan Arshad1
1Internal Medicine, Capital Health Regional Medical Center, Trenton, NJ, USA.
European Journal of Case Reports in Internal Medicine
|November 23, 2022
Summary
Central venous line removal can cause air embolism, leading to acute stroke. Even with precautions, serious complications like stroke can occur, necessitating hyperbaric oxygen therapy.
Area of Science:
- Medical Procedures
- Neurology
- Vascular Surgery
Background:
- Central venous lines are common medical devices.
- Line removal necessitates specific precautions to prevent complications.
- Patient safety during device removal is paramount.
Purpose of the Study:
- To report a case of acute ischemic stroke secondary to air embolism during central venous line removal.
- To highlight the potential for severe complications despite adherence to precautions.
- To review air embolism mechanisms and prevention strategies.
Main Methods:
- Case report of a 51-year-old female patient.
- Description of the central venous line removal procedure and subsequent event.
- Review of literature on air embolism and stroke management.
Main Results:
- The patient experienced an acute ischemic stroke attributed to air embolism after central venous line removal.
- Neurological deficits persisted despite extensive management efforts.
- The event occurred despite the implementation of appropriate precautionary measures.
Conclusions:
- Central venous line removal carries a risk of air embolism, potentially causing acute stroke.
- Hyperbaric oxygen therapy is recommended for acute stroke resulting from air embolism.
- Clinicians must remain vigilant for rare but severe complications during bedside procedures.
