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Two Cases of Cerebral Air Embolism That Occurred during Esophageal Ballooning and Endoscopic Retrograde Cholangiopancreatography
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Suyeon Park, Ji Yong Ahn, Young Eun Ahn, Sang-Beom Jeon, Sang Soo Lee, Hwoon-Yong Jung, Jin-Ho Kim
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Clin Endosc 2016;49(2):191-196. Published online February 22, 2016
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DOI: https://doi.org/10.5946/ce.2015.071
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 Abstract
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- Cerebral air embolism is an extremely rare complication of endoscopic procedure and often life threatening. We present two cases of cerebral infarction due to air embolization caused by an endoscopic intervention. The first case occurred during esophageal balloon dilatation for the treatment of a stricture of an anastomosis site in a 59-year-old man and the second case occurred during endoscopic papillary balloon dilatation in a 69-year-old man who had distal common bile duct stones. After the procedure, cardiopulmonary instability and altered mental status were observed in both patients, and cerebral air embolism was diagnosed in both cases. Hyperbaric oxygen therapy was started in the first case, and high FiO2 therapy was applied in the second case. Although this complication is rare, patient outcomes can be improved if physicians are aware of this potential complication, and immediately begin proper management.
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Citations
Citations to this article as recorded by  - Fatal cerebral air embolism post esophageal endoscopy with dilatation: A case report
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Acute Medicine & Surgery.2024;[Epub] CrossRef - Diffuse Bi-hemispheric Cortical Infarction Secondary to Cerebral Air Embolism After Elective Esophagogastroduodenoscopy: A Case Report and Review of Literature
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Case Reports in Gastroenterology.2021; 15(1): 456. CrossRef - Massive cerebral air embolism following percutaneous transhepatic biliary drainage
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Journal of Stroke and Cerebrovascular Diseases.2019; 28(12): 104403. CrossRef - Cerebral air embolism following an endoscopic variceal ligation
Xue-song Bai, Bo Yang, Yi-jun Yu, Hong-lan Liu, Zi Yin
Medicine.2018; 97(23): e10965. CrossRef - Providing Deep Sedation for Advanced Endoscopic Procedures: The Esthetics of Endoscopic Anesthetics
Basavana Goudra, Preet Mohinder Singh
Digestive Diseases and Sciences.2016; 61(6): 1426. CrossRef - Fatal Cerebral Air Embolism: A Case Series and Literature Review
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Case Reports in Critical Care.2016; 2016: 1. CrossRef - Cerebral Air Embolism
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American Journal of Forensic Medicine & Pathology.2016; 37(4): 241. CrossRef
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