Argüelles García Bonel, García Blanco Alvaro, Meilán Martínez Angela, Calvo Blanco Juan
Servicio de Radiodiagnóstico, Hospital Central de Asturias, Oviedo, España.
Gastroenterol Hepatol. 2009 Nov;32(9):614-7. doi: 10.1016/j.gastrohep.2009.06.001. Epub 2009 Aug 6.
Stroke secondary to an air embolism is an uncommon complication of gastrointestinal endoscopy. We report the case of a patient who developed a cerebral artery air embolism during endoscopic retrograde cholangiopancreatography. Despite diagnosis and treatment, the patient died from severe ischemic brain damage. To date, cerebral artery air embolisms as a cause of stroke have only been reported anecdotally. The complications of endoscopic techniques are increasingly frequent and varied, due to the major increase in the use of these procedures in our hospitals. Greater knowledge of this infrequent complication would allow rapid diagnosis, which is essential to provide specific treatment and prevent fatal outcome.
空气栓塞继发的中风是胃肠内镜检查中一种罕见的并发症。我们报告一例在内镜逆行胰胆管造影术期间发生脑动脉空气栓塞的患者。尽管进行了诊断和治疗，但患者仍死于严重的缺血性脑损伤。迄今为止，脑动脉空气栓塞作为中风的病因仅有零星报道。由于我们医院这些检查程序的使用大幅增加，内镜技术的并发症日益频繁且多样。对这种罕见并发症有更多了解将有助于快速诊断，这对于提供特异性治疗和预防致命后果至关重要。
