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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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ISCHAEMIC STROKE, PREVENTABLE WITH TISSUE ADHESIVE

Pieter Bothma1,2, Goncalo Campos2, Ananda Shakya2

  • 1Hyperbaric Medicine, James Paget University Hospital, Gorleston, UK.

European Journal of Case Reports in Internal Medicine
|March 27, 2023
PubMed

Insights

Prevent strokes caused by gas embolism by sealing central venous catheter sites with tissue glue. Prompt hyperbaric treatment is crucial, so know your nearest hyperbaric unit location before invasive procedures.

Area of Science:

  • Medical Science
  • Vascular Surgery
  • Neurology

Background:

  • Gas embolism is a serious complication during medical procedures.
  • Central venous catheterization carries a risk of air entrainment.
  • Gas embolism can lead to stroke, a significant cause of morbidity and mortality.

Purpose of the Study:

  • To highlight preventable causes of gas embolism-related stroke.
  • To emphasize the importance of specific preventative measures.
  • To stress the need for timely hyperbaric treatment.

Main Methods:

  • Review of clinical guidelines and best practices for central venous catheter removal.
  • Description of the technique for sealing catheter tracts with tissue glue.
  • Discussion of the role and timing of hyperbaric oxygen therapy.

Main Results:

  • Sealing catheter tracts with tissue glue effectively prevents air entrainment.
  • Adherence to established guidelines significantly reduces preventable gas embolism cases.
  • Early initiation of hyperbaric treatment improves outcomes for patients experiencing gas embolism.

Conclusions:

  • Many gas embolism-related strokes are preventable through adherence to guidelines.
  • Tissue glue application is a key method to prevent air embolism after catheter removal.
  • Awareness of hyperbaric unit locations is vital for prompt treatment of invasive procedure complications.

Keywords:
Acute ischaemic strokeCVCair embolismcentral venous catheter

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