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Medline ® Abstract for Reference 73

of 'Rare complications of endoscopic retrograde cholangiopancreatography (ERCP)'

Air embolism after endoscopic retrograde cholangiopancreatography in a patient with budd Chiari syndrome.
Wills-Sanin B, Cárdenas YR, Polanco L, Rivero O, Suarez S, Buitrago AF
Case Rep Crit Care. 2014;2014:205081. Epub 2014 Nov 18.
Endoscopic retrograde cholangiopancreatography is a procedure commonly used for the diagnosis and treatment of various pancreatic and biliary diseases. Air embolism is a rare complication, which may be associated with this procedure. This condition can be manifested as cardiopulmonary instability and/or neurological symptoms. Known risk factors include: sphincterotomy; application of air with high intramural pressure; anatomic abnormalities; and chronic hepatobiliary inflammation. It is important for the health-care staff, including anesthesiologists, interventional gastroenterologists, and critical care specialists, amongst others, to promptly recognize air embolism and to initiate therapy in a timely fashion, thus preventing potentially fatal outcomes. We submit a brief review of the literature and a case report of air embolism which occurred in the immediate postoperative stage of an endoscopic retrograde cholangiopancreatography, performed in a woman with a history of liver transplantation due to Budd Chiari syndrome and biliary stricture.
Department of Critical Care, University Hospital Fundación Santa Fe de Bogotá, Calle 119 No. 7-75, A.A. 220246, Bogotá, Colombia.