Risk of Air Embolism and On-site Management during Intraoperative Lung Nodule Localization in Hybrid Room: 7 Cases from a Single Institute

The increased risk of air embolism should be emphasized during intraoperative lung nodule localization in hybrid room, which might be related to the abnormal bronchial-vein fistula caused by the puncture and positive pressure ventilation. Avoiding pulmonary vein injury with careful planning of the needle pathway on CT and holding the ventilator during the puncture procedure may reduce the risk of air embolism.