Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 13 , ISSUE 2 ( June, 2009 ) > List of Articles

CASE REPORT

Fatal cerebral arterial gas embolism after endoscopic retrograde cholangiopancreatography

Pradeep Rangappa, Britta Uhde, Roger W. Byard, Alex Wurm, Peter D. Thomas

Keywords : Cerebral arterial gas embolism, endoscopic retrograde cholangiopancreatography, hyperbaric oxygen (HBO 2)

Citation Information : Rangappa P, Uhde B, Byard RW, Wurm A, Thomas PD. Fatal cerebral arterial gas embolism after endoscopic retrograde cholangiopancreatography. Indian J Crit Care Med 2009; 13 (2):108-112.

DOI: 10.4103/0972-5229.56061

License: CC BY-ND 3.0

Published Online: 01-06-2009

Copyright Statement:  Copyright © 2009; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

We report the case of a 50-year-old woman undergoing elective endoscopic retrograde cholangiopancreatography, who developed coma and hemiparesis secondary to severe cerebral artery gas embolism. Despite prompt diagnosis and early hyperbaric oxygen therapy (HBO 2) she developed severe cerebral edema and died within 24 h.


PDF Share
  1. Fatal air and bile embolism after percutaneous liver biopsy and ERCP. Gastrointest Endosc 2005;61:153-7.
  2. Cardiac air embolism after endoscopic retrograde cholangiopancreatography in a patient with blunt hepatic trauma. J Trauma 2002;53:1170-2.
  3. Venous gas embolism during endoscopy. Surg Endosc 1999;13:276-9.
  4. Cerebral air embolism after gastroduodenoscopy: complication of a duodenocaval fistula. Gastrointest Endosc 1994;40:376-8.
  5. Hepatic portal venous gas after colonoscopy in granulomatous colitis. Am J Gastroenterol 1985;80:637-8.
  6. Cerebral arterial gas embolism following diagnostic bronchoscopy: delayed treatment with hyperbaric oxygen. Can J Anaesth 2002;49:96-9.
  7. Incidence and size of patent foramen ovale during the first 10 decades of life: An autopsy study of 965 normal hearts. Mayo Clin Proc 1984;59:17-20.
  8. Cerebral air embolism resulting from invasive medical procedures. Treatment with hyperbaric oxygen. Ann Surg 1985;201:242-5.
  9. Paradoxical cerebral arterial gas embolism: Computed tomography findings. Australas Radiol 2007;51:B210-3.
  10. Cerebral air embolism: Acute imaging. J Stroke Cerebrovasc Dis 1998;7:222-6.
  11. Fatal hepatic air embolism following ERCP. Gastrointest Endosc 1997;45:187-8.
  12. Fatal systemic air embolism during endoscopic retrograde cholangio-pancreatography. Anaesth Intensive Care 2004;32:260-4.
  13. Fatal cerebral air embolism after endoscopic retrograde cholangiopancreatography. Acta Anaesthesiol Scand 2006;50:648.
  14. Gas embolism. N Engl J Med 2000;342:476-82.
  15. Hyperbaric treatment of cerebral air embolism sustained during an open-heart surgical procedure. Mayo Clin Proc 1991;66:565-71.
  16. S.Navy Diving Manual Volume 1 (Air Diving) - Published by the Direction of Commander, Naval Sea Systems Command. Flagstaff, AZ: Best Publishing
  17. Hyperbaric oxygen treatment for cerebral air embolism - where are the data? Mayo Clin Proc 1991;66:641-6.
  18. The protective effect of hyperbaric oxygenation in experimental cerebral edema. J Neurosurg 1968;29:236-41.
  19. Reduction of increased intracranial pressure. Comparison between hyperbaric oxygen and hyperventilation. Arch Neurol 1971;24:210-6.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.