Embolie gazeuse : une complication rare de la cholangiopancréatographie rétrograde endoscopique

Giuly, E; Pesenti, Christian; Pernoud, N.; Bories, Erwan; Francon, Daniel

doi:10.1016/j.annfar.2005.06.014

Cited by 11 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The United Stated of America National Inpatient Sample from 1998 to 2013 reported the occurrence of air embolism in 3.32 per 100,000 ERCP procedures [ 5 ]. With only 60 cases of air embolism reported (and even fewer related to paradoxical air embolism) [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 ], we aimed to report a case of paradoxical cerebral air embolism in a patient undergoing ERCP due to a common bile duct (CBD) stricture and to provide a mini-review of this clinical entity that can serve as a bedside quick reference guide for endoscopists worldwide.…”

Section: Introductionmentioning

confidence: 99%

When in Trouble Think of the Bubble: Paradoxical Cerebral Arterial Gas Embolism after Endoscopic Retrograde Cholangiopancreatography

Ekmektzoglou

Alexandrakis²,

Dimopoulos³

et al. 2021

Case Rep Gastroenterol

View full text Add to dashboard Cite

Air embolism (a result of direct communication with the vasculature and an external pressure gradient from the gastrointestinal or the biliary tract), although rare, is a potentially devastating adverse event seen in endoscopic retrograde cholangiopancreatography (ERCP) procedures. Whether venous, arterial, or paradoxical, the clinical presentation ranges from asymptomatic patients to cardiorespiratory arrest. This is of particular importance because it makes the diagnosis of air embolism even more difficult in an already sedated patient. Since early recognition increases the chances of patients’ survival, endoscopists should be highly motivated and trained to recognize this complication as early as possible. With only 60 cases of air embolism reported (and even fewer related to paradoxical air embolism), we aimed to report a case of paradoxical cerebral air embolism in a patient undergoing ERCP due to a common bile duct stricture and to provide a mini-review of this clinical entity that can serve as a bedside quick reference guide for endoscopists worldwide.

show abstract

Section: Introductionmentioning

confidence: 99%

When in Trouble Think of the Bubble: Paradoxical Cerebral Arterial Gas Embolism after Endoscopic Retrograde Cholangiopancreatography

Ekmektzoglou

Alexandrakis²,

Dimopoulos³

et al. 2021

Case Rep Gastroenterol

View full text Add to dashboard Cite

show abstract

“…Air embolism is a rare but repeatedly reported complication of endoscopic retrograde cholangiopancreatography (ERCP)1,2,3,4,5,6,7,8,9,10 (Table 1);1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24 however, air embolism has not been reported together with chronic cholangitis, liver abscess, recurrent replacement of a bile duct stent, and bacteremia with multiresistant extended-spectrum β-lactamase Escherichia coli (ESBL).…”

Section: Introductionmentioning

confidence: 99%

Fatal Cerebral Air Embolism Due to a Patent Foramen Ovale during Endoscopic Retrograde Cholangiopancreatography

2014

View full text Add to dashboard Cite

Fatal air embolism to the cerebrum during an endoscopic retrograde cholangiopancreatography (ERCP) has not been reported in a patient with a biliodigestive anastomosis and multiresistant extended-spectrum β-lactamase Escherichia coli (ESBL) bacteremia. A 59-year-old woman with a history of laparoscopic cholecystectomy and iatrogenic injury of the right choledochal duct, choledochojejunostomy (biliodigestive anastomosis), recurrent cholangitis, revision of the biliodigestive anastomosis, recurrent liver abscesses, and recurrent stenting of stenotic bile ducts, was admitted because of fever and tenderness of the right upper quadrant. On ERCP, a previously deployed covered Wallstent was replaced. Blood cultures grew ESBL. After stent removal 8 days later, the patient did not wake up and developed arterial hypotension and respiratory insufficiency, requiring mechanical ventilation. Computed tomography scans showed extensive air embolism to the liver, heart, and cerebrum. She died 1 day later. Although the exact pathogenesis of the fatal cerebral air embolism remains speculative, the nonphysiological anatomy and chronic infection with ESBL may have been contributory factors.

show abstract

Intérêt d’un scanner corps entier pour le diagnostic d’embolie gazeuse au cours d’une cholangiopancréatographie rétrograde endoscopique

Tan

Saunier

Cotton

et al. 2008

Annales Françaises d'Anesthésie et de Réanimation

View full text Add to dashboard Cite

Embolie gazeuse : une complication rare de la cholangiopancréatographie rétrograde endoscopique

Cited by 11 publications

References 12 publications

When in Trouble Think of the Bubble: Paradoxical Cerebral Arterial Gas Embolism after Endoscopic Retrograde Cholangiopancreatography

When in Trouble Think of the Bubble: Paradoxical Cerebral Arterial Gas Embolism after Endoscopic Retrograde Cholangiopancreatography

Fatal Cerebral Air Embolism Due to a Patent Foramen Ovale during Endoscopic Retrograde Cholangiopancreatography

Intérêt d’un scanner corps entier pour le diagnostic d’embolie gazeuse au cours d’une cholangiopancréatographie rétrograde endoscopique

Contact Info

Product

Resources

About