Fatal cerebral arterial gas embolism after endoscopic retrograde cholangiopancreatography
Pradeep Rangappa, Britta Uhde, Roger W. Byard, Alex Wurm, Peter D. Thomas
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.
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Copyright © 2009; Jaypee Brothers Medical Publishers (P) Ltd.
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.
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