Your activity: 6 p.v.

Cases of air embolism during endoscopic retrograde cholangiopancreatography (ERCP) reported in the literature

Cases of air embolism during endoscopic retrograde cholangiopancreatography (ERCP) reported in the literature
  Reference/year Age/sex Underlying disease Endoscopic procedures Complications Diagnostic findings and imaging Outcome
1 Simmons et al, 1988 23/F Bile duct stone ES Portal venous gas Radiographs during ERCP Uneventful
2 Merine et al, 1989 39/F Papillary stenosis ES

Retroperitoneal perforation

Pancreatitis

Portal venous gas
Abdominal CT Recovered
3 Blind et al, 1991 60/M Bile duct stone ES

Moderate bleeding

Portal venous gas
Radiographs during ERCP Recovered
4 Barthet et al, 1994 31/M Bile duct stenosis ES

Mild bleeding

Portal venous gas
Radiographs during ERCP Uneventful
5 Herman et al, 1995 46/M Liver transplant for cirrhosis ES

Moderate bleeding

Portal venous gas
Radiographs during ERCP Recovered
6 Tighe et al, 1996 31/M Cirrhosis and portal cavernoma

ES

Balloon dilation

Moderate bleeding

Portal venous gas and opacification
Radiographs during ERCP Recovered
7 Kennedy et al, 1997 63/F Bile duct stone

ES

Stone extraction

Mild bleeding

Venous air embolism

Cardiorespiratory arrest
Radiographs during ERCP and post-mortem Death
8 Nayagam et al, 2004 56/M Malignant bile duct stenosis Biliary stent

Venous and arterial air embolism

Cerebral ischemia

Echocardiography

Autopsy
Death
9 Giuly et al, 2005 60/F

Bile duct stenosis

Myeloma multiple
Biliary stent

Venous air embolism

Hypoxemia and shock
Echocardiography Recovered
10 Siddiqui et al, 2005 43/F

Recent liver biopsy

Ampullary adenoma

ES

Brushing and biopsy

Venous air embolism

Cardiorespiratory arrest

Radiographs during ERCP (post-mortem review)

Autopsy
Death
11 Mohammedi et al, 2005 27/M

Hepatic trauma

Biliary fistula
ES

Venous air embolism

Hypoxemia and shock
Cardiac auscultation Recovered
12 Stabile et al, 2006 65/M

Previous PTBD and ES

Biliary colic and icterus
Cholangiography

Venous and arterial air embolism

Cerebral ischemia

Thoracoabdominal and head CT

Autopsy
Death
13 Rabe et al, 2006 87/M

Benign biliary stricture

Patent foramen ovale
Disobstruction of metal biliary stent

Venous and arterial air embolism

Unconsciousness and hemiparesis
Head CT Hemiparesis
14 Rabe et al, 2006 54/M

Portal vein cavernoma

Patent foramen ovale
Balloon revision of obstructed metal biliary stent

Brisk bleeding

Venous air embolism

Cardiorespiratory arrest

Echocardiography

Autopsy
Death
15 Tan et al, 2008 82/F Ampullary adenoma Metal biliary stent

Venous and arterial air embolism

Cardiorespiratory arrest

Cerebral ischemia
Thoracoabdominal and head CT Death
16 Bisceglia et al, 2009 78/M

Bile duct stone

Cholangitis and liver abscesses

Biliary-duodenal fistula
Stone extraction

Veno-biliary fistula

Venous and arterial air embolism

Cardiorespiratory arrest

Thoracoabdominal and head CT

Autopsy
Death
17 Romberg, 2009 53/M Bile duct stone Mechanical lithotripsy

Moderate bleeding

Porto-biliary fistula

Venous and arterial air embolism

Hypoxemia, shock, and unconsciousness
Transesophageal echocardiography Recovered
18 Rangappa et al, 2009 50/F

Bile duct stone

Cholecystectomy

Patent foramen ovale

Widening of sphincterotomy

Stone extraction
Venous and arterial air embolism

Head CT

Autopsy
Death
19 Cha et al, 2010 50/F

Bile duct stones

Choledocoduodenostomy

Liver abscesses
Stone extraction

Venous air embolism

Cardiorespiratory arrest

Chest radiograph

Abdominal CT
Death
20 Going et al, 2010 72/F Cholangiocarcinoma Cholangioscopy ERCP

Venous air embolism

Cardiorespiratory arrest

Cerebral ischemia

Abdominal radiograph

Transesophageal echocardiography

Head MRI
Recovered
21 Arguelles Garcia et al, 2010 82/M

Previous ES

Cholangitis

Bile duct stones

Balloon dilatation

Stone extraction

Venous and arterial air embolism

Hypoxemia, shock and hemiparesis

Cerebral ischemia
Head CT Death
22 Van Boxel et al, 2010 82/M

Bile duct stones

Bile duct stent
Removal of bile duct stent

Venous and arterial air embolism

Myocardial and cerebral ischemia

Electrocardiogram

Head CT
Recovered
23 Finsterer et al, 2010 59/F

Choledochojejunostomy

Recurrent cholangitis and liver abscesses
Removal of bile duct stent

Venous and arterial air embolism

Hypoxemia and shock
Thoracoabdominal and head CT Death
24 Mal et al, 2010 78/F

Cholangitis

Bilio-digestive anastomosis
Dilatation of bilio-digestive

Mild bleeding

Venous air embolism

Echocardiography

Autopsy
Death
25 Di Pisa et al, 2011 8/M

Portal cavernoma

Post-sphincterotomy bleeding
Removal of covered metal stent

Moderate bleeding

Venous air embolism

Cardiorespiratory arrest
Transesophageal echocardiography Recovered
26 Jow et al, 2011 65/M

Chronic pancreatitis

Pancreatic pseudocyst

Pancreatic sphincterotomy

Pancreatic stent

EUS-guided cyst-gastrostomy

Venous air embolism

Cardiorespiratory arrest

Radiographs post-mortem

Autopsy
Death
27 Bechi et al, 2011 79/F Bile duct stones ES Venous air embolism Echocardiography Recovered
28 Maccarone et al, 2011 45/M

Bile duct stones

Patent foramen ovale
Rendez-vous technique

Venous and arterial air embolism

Shock and cerebral ischemia

Transesophageal echocardiography

Head MRI
Residual neurologic deficit
29 Nern et al, 2012 58/F

Suspected Klatskin tumor

Echinococcus of the liver

Patent foramen ovale

Liver biopsy

Biliary stent

Venous and arterial air embolism

Cerebral infarctions

Thoracoabdominal and head CT

Autopsy
Death
30 Chavalitdhamrong and Draganov, 2013 66/M

Bile duct stricture

Patent foramen ovale
Stent exchange

Venous and arterial air embolism

Cerebral infarctions

Echocardiography

Thoracoabdominal and head CT
Death
31 Chavalitdhamrong and Draganov, 2013 51/F Recurrent pancreatitis post-pancreaticodudenectomy Diagnostic ERCP

Venous and arterial air embolism

Cerebral and spinal cord infarctions
Head and spinal MRI Residual neurologic deficits
32 Vachalova et al, 2013 45/M

Liver cirrhosis

Chronic pancreatitis

Bile duct stenosis

Bile duct stones

ES

Removal of bile duct stones

Biliary stent

Second EGD

Venous and arterial air embolism

Right-sided brain infarction

Head CT

Autopsy
Death
33 Arora et al, 2013 74/F

Gallbladder carcinoma

Cholangitis
7-Fr biliary stent Portal venous air Radiographs during ERCP Uneventful
34 Merini et al, 2014 42/F

Choledocoduodenal anastomosis

Bile duct stones

Cholangiography

Diagnostic ERCP

Venous and arterial air embolism

Cerebral infarction

Echocardiography

Head MRI
Hemiparesis
35 Athauda et al, 2014 36/M

Gallstone pancreatitis

Third ERCP

Previous PTBD
Stent removal

Venous and arterial air embolism

Cerebral infarction
Head CT and MRI Hemiparesis
36 Duburque et al, 2014 45/M

Chronic pancreatitis

Cholestasis

Abdominal pain

Patent foramen ovale

ES

Metal biliary stent

Metal pancreatic stent

Venous and arterial air embolism

Cerebral infarction

Echocardiography

Coronary angiography

Head MRI
Quadraparesis
37 Duburque et al, 2014 87/M Bile duct stone

ES

Removal of bile duct stone

Biliary stent

Venous air embolism

Cardiac arrest
Echocardiography Recovered
38 Bastovansky et al, 2014 59/F

Bile duct stone

Cholangitis and liver abscesses

Bilio-enteric anastomosis

Patent foramen ovale
Removal of metal biliary stent

Venous and arterial air embolism

Cerebral infarction

Cerebral CT

Brain MRI

Transesophageal echocardiography

Autopsy
Death
39 Hauser et al, 2014 56/F

Non-Hodgkin lymphoma

Bile duct stones

ES

Removal of stones

Venous air embolism

Ventricular fibrillation
Autopsy Death
40 Wills-Sanin et al, 2014 55/F

Liver transplant for Budd-Chiari syndrome

Biliary strictures

Bile duct stones

Biliary stent migration

Removal of stones

Venous air embolism

Cardiac arrest
CT angiography Recovered
41 Markin et al, 2015 66/M

Bile duct stones

Portal vein thrombosis

Patent foramen ovale
Replacement of biliary stent

Venous and arterial air embolism

Cardiac and cerebral ischemia

Transesophageal echocardiography

Cerebral CT

Brain MRI
Death
42 Marchesi et al, 2015 51/F

Bile duct stones

Recent ESWL and ES

Biliary-vascular fistula

Patent foramen ovale
Attempted removal of large bile duct stone

Venous and arterial air embolism

Cardiac arrest

Thoracoabdominal and cerebral CT post-mortem

Autopsy
Death
43 Mathew Jr et al, 2015 55/M Bile duct stones

ES

Removal of stones

Choledochoscopy

Venous air embolism

Cardiac arrest

Explolatory laparotomy

Left ventricular aspiration

Autopsy
Death
44 Park et al, 2016 69/M Bile duct stones

EPBD

Removal of stones

CMS

Venous air embolism

Cardiac arrest

Cerebral CT

Brain MRI
Hemiparesis
45 Cooper JS et al, 2016 75/M

Hilar stricture

Brushing and plastic biliary stent

Cholangitis

Removal of biliary stent with biliary balloon and snare

Mild bleeding

Venous and arterial air embolism

Ventricular tachycardia
Echocardiography Recovered
46 Maggino et al, 2016 24/M Blunt traumatic pancreatic transection

Plastic pancreatic stent

Bleeding
Portal air embolism Abdominal CT Recovered
47 Fernandez et al, 2016 85/M Distal cholangiocarcinoma Replacement of biliary stent Venous and arterial air embolism Cerebral CT Death
48 Sisk et al, 2016 37/M

Recurrent pancreatitis

Common bile duct obstruction

Post-kidney transplant
Replacement of biliary stent Venous and arterial air embolism

Transesophageal echocardiography

Brain MRI
Death
49 Sisk et al, 2016 79/F Cholangitis Replacement of biliary stent

Venous air embolism

Cardiac arrest
Transesophageal echocardiography Death
50 Trabanco et al, 2017 85/M

Cholangiocarcinoma

Cholangitis
Biopsy and replacement of biliary stent

Venous and arterial air embolism

Cerebral infarction
Cerebral CT Death
51 Barbeiro et al, 2017 72/F

Jaundice

Dilation of the bile ducts
Precut papillotomy Portal air embolism Radiographs during ERCP abdominal CT Recovered
ES: endoscopic sphincterotomy; ERCP: endoscopic retrograde cholangiopancreatography; CT: computed tomography; PTBD: percutaneous transhepatic biliary drainage; MRI: magnetic resonance imaging; EGD: esophagogastroduodenoscopy; EPBD: endoscopic papillary ballon dilation; CMS: covered metal stent; ESWL: extracorporeal shockwave lithotripsy; M: male; F: female.
Graphic 77515 Version 17.0