Coil Migration After Endovascular Closure of a Coronary Artery Fistula

Shrestha, Battu Kumar; Arora, Dheeraj; Mehta, Yatin; Bhan, Anil

doi:10.1053/j.jvca.2019.07.122

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…Coil embolization would have been challenging, on the one hand, due to the size of the PSA, and on the other hand, in case of coil migration—a rare complication—LMCA and LAD would have been at risk. 13 Alternative covered stent implantation can be used for PSA treatment. 14 , 15 Since LCx was chronically occluded and a recanalization was not indicated, we decided to implant a covered stent over the LCx ostium with complete closure of the PSA.…”

Section: Discussionmentioning

confidence: 99%

Progression and interventional therapy of a coronary pseudoaneurysm: a case report

Gersch

Baraki

Toischer

2022

European Heart Journal - Case Reports

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Background Coronary pseudoaneurysms occur as a rare complication following drug-eluting stent implantation and have been reported to occur between one week to four years after implantation. Most of them remain in a stable state, but progression of pseudoaneurysms increases the risk of rupture and hemorrhagic cardiac tamponade. Case Report Here, we present a case of a 55-year-old patient, who developed a pseudoaneurysm of the proximal left circumflex artery after stent implantation of the left main, left anterior descending artery and left circumflex artery. Within less than one year the patient was readmitted to different hospitals due to cardiac decompensation and myocardial infarction. Thereby coronary angiography as well as CT-scans were performed and progression of the pseudoaneurysm could be documented. Interventional therapy was chosen due to high surgical risk of the patient. Implantation of a covered stent from the left main artery into the left anterior descending artery was chosen to treat the pseudoaneurysm, thereby silencing the chronical occluded left circumflex artery, followed by dilatation with non-compliant balloon. The patient has remained asymptomatic in a 6-months follow-up. Discussion Coronary pseudoaneurysm should be controlled with respect to progression and appropriate therapy can be chosen for treatment.

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Section: Discussionmentioning

confidence: 99%

Progression and interventional therapy of a coronary pseudoaneurysm: a case report

Gersch

Baraki

Toischer

2022

European Heart Journal - Case Reports

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“…Coil migration is more common with pushable coils. 52,80,81 Due to the forceful injection of flushed saline, the coil may migrate from the area of interest. Inappropriately sized coils which can be too long and not appropriately compacted, or undersized can also migrate.…”

Section: Acute Complicationsmentioning

confidence: 99%

“…Coil migration is more common with pushable coils 52,80,81 . Due to the forceful injection of flushed saline, the coil may migrate from the area of interest.…”

Section: Acute Complicationsmentioning

confidence: 99%

Coils embolization use for coronary procedures: Basics, indications, and techniques

Loh,

Brilakis,

Gasparini

et al. 2023

Cathet Cardio Intervent

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The use of coils is fundamental in interventional cardiology and can be lifesaving in selected settings. Coils are classified by their materials into bare metal, fiber coated, and hydrogel coated, or by the deliverability method into, pushable or detachable coils. Coils are delivered through microcatheters and the choice of coil size is important to ensure compatibility with the inner diameter of the delivery catheter, firstly to be able to deliver and secondly to prevent the coil from being stuck and damaged. Clinically, coils are used in either acute or in elective setting. The most important acute indication is typically the sealing coronary perforation. In the elective settings, coils can be used for the treatment of certain congenital cardiac abnormalities, aneurysms, fistulas or in the treatment of arterial side branch steal syndrome after CABG. Coils must always be delivered under fluoroscopy guidance. There are some associated complications with coils that can be acute or chronic, that nictitates regular followed‐up. There is a need for education, training and regular workshops with hands‐on to build the experience to use coils in situations that are infrequently encountered.

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Coil Migration After Endovascular Closure of a Coronary Artery Fistula

Cited by 2 publications

References 13 publications

Progression and interventional therapy of a coronary pseudoaneurysm: a case report

Progression and interventional therapy of a coronary pseudoaneurysm: a case report

Coils embolization use for coronary procedures: Basics, indications, and techniques

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