Migration to the pulmonary artery of nine metallic coils placed in the internal iliac vein for treatment of giant rectal varices

Yamasaki, Wataru; Kakizawa, Hideaki; Ishikawa, M.; Date, Shuji; Tatsugami, Fuminari; Terada, Hiroaki; Kitajima, Masaki; Kawaoka, Tomokazu; Tsuge, Masataka; Chayama, Kazuaki; Awai, Kazuo

doi:10.1258/arsr.2012.120024

Cited by 11 publications

(8 citation statements)

References 6 publications

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“…34 Veins with caliber greater than 12 mm increase the risk of coils migrating to the pulmonary artery, which is one of the main complications of the procedure. 35 Other complications include venous perforation, local phlebitis, deep venous thrombosis, and reactions to the contrast, which occur in 3.4-4.4% of cases. 2 Six weeks after embolization, echography should be performed again, to assess the degree of reflux remaining.…”

Section: Endovascular Treatmentmentioning

confidence: 99%

Síndrome da congestão pélvica e embolização de varizes pélvicas

et al. 2019

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Resumo A síndrome da congestão pélvica (SCP) é definida como dor pélvica crônica há mais de 6 meses associada a varizes perineais ou vulvares, resultantes do refluxo ou obstrução das veias gonadais, glúteas ou periuterinas. A SCP é responsável por 16-31% dos casos de dor pélvica crônica, sendo diagnosticada sobretudo na terceira e quarta décadas de vida. Nos últimos anos, houve um interesse maior nessa patologia por parte dos cirurgiões vasculares devido à sua associação com insuficiência venosa de membros inferiores. Apesar de prevalente, a SCP ainda é pouco diagnosticada tanto nos consultórios ginecológicos quanto nos de angiologistas. Portanto, neste artigo revisaremos a etiologia e o diagnóstico desta patologia e os resultados dos diversos tipos de tratamentos disponíveis.

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Section: Endovascular Treatmentmentioning

confidence: 99%

Síndrome da congestão pélvica e embolização de varizes pélvicas

et al. 2019

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“…Furthermore, larger vessels with a high-flow state (such as the internal iliac, as in our patient), are at higher risk for coil migration, especially when the varices are relieved and flow is increased. 9 Tonkin et al described two cases of coil migration to the tricuspid valve and pulmonary arteries with a coil fragment in the right ventricle, which were asymptomatic and conservatively managed. 10…”

Section: Discussionmentioning

confidence: 99%

A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female

Guerrero

Theophanous

2020

Clinical Practice and Cases in Emergency Medicine

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Introduction: It is possible but rare for a pelvic coil to migrate to the pulmonary vasculature, which can cause cardiac damage, arrhythmias, pulmonary infarct, and thrombophlebitis. The few cases reported typically do not describe removal of the coils, as patients were asymptomatic. Case report: A 39-year-old female with recent coil embolization of her left internal iliac and ovarian veins for pelvic congestion syndrome presented with one month of right-sided chest pain and dyspnea. Imaging revealed a migrated pelvic coil in the patient’s right main pulmonary artery with pulmonary infarcts and a pleural effusion. Conclusion: Interventional radiology successfully removed the coil endovascularly, with significant symptom improvement. This prevented a more-invasive open surgical procedure and resolved symptoms without requiring long-term anticoagulation or monitoring.

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“…Microcoil migration is a rare complication of embolization reported to be seen in 0.3% in a series of studied abdominal vascular embolization [40]. There have been various reasons quoted for such a migration after arterial microcoil embolization most important of which include: discrepancy between microcoil size and vessel wall diameter, high blood flow, unstable catheter tip, variation in vessel diameters with respiration the latter particularly in veins [40-42]. The type of microcoil used is also an important factor.…”

Section: Discussionmentioning

confidence: 99%

Emergency cholecystectomy and hepatic arterial repair in a patient presenting with haemobilia and massive gastrointestinal haemorrhage due to a spontaneous cystic artery gallbladder fistula masquerading as a pseudoaneurysm

et al. 2013

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BackgroundHaemobilia usually occurs secondary to accidental or iatrogenic hepatobiliary trauma. It can occasionally present with cataclysmal upper gastrointestinal haemorrhage posing as a life threatening emergency. Haemobilia can very rarely be a complication of acute cholecystitis. Here we report a case of haemobilia manifesting as massive gastrointestinal haemorrhage in a patient without any prior history of biliary surgery or intervention and present a brief review of literature.Case presentationA 22 year old male admitted with history suggestive of acute cholecystitis subsequently developed waxing waning jaundice and recurrent episodes of upper gastrointestinal bleed. Endoscopy showed an ulcer in the first part of duodenum with a clot, no active bleed was visible. Angiography was suggestive of a ruptured pseudoaneurysm in the vicinity of the right hepatic artery probably originating from the cystic artery. Coil embolization was tried but the coil dislodged into the right branch of hepatic artery distal to the site of pseudoaneurysm. Review of angiographic video in light of operative findings demonstrated a fistulous communication between cystic artery and gallbladder as the cause, a simultaneous cholecystoduodenal fistula was also noted. Retrograde cholecystectomy, closure of cholecystoduodenal fistula and right hepatic arteriotomy with retrieval of the endo-coil and hepatic arterial repair was performed.ConclusionFistula between the cystic artery and gallbladder has been commonly reported to occur after laparoscopic cholecystectomy. Spontaneous fistulous communication, i.e. in the absence of any prior trauma or intervention, between cystic artery and gallbladder is rare with very few reports in literature. Aetiopathogenesis of the disease, in the context of current literature is reviewed. The diagnostic dilemma posed by the confounding finding of an ulcer in the duodenum, the iconic video angiographic depiction as also the therapeutic challenge of a failed embolization with consequent microcoil migration and primary hepatic arterial repair in the emergency situation is discussed.

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Migration to the pulmonary artery of nine metallic coils placed in the internal iliac vein for treatment of giant rectal varices

Cited by 11 publications

References 6 publications

Síndrome da congestão pélvica e embolização de varizes pélvicas

Síndrome da congestão pélvica e embolização de varizes pélvicas

A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female

Emergency cholecystectomy and hepatic arterial repair in a patient presenting with haemobilia and massive gastrointestinal haemorrhage due to a spontaneous cystic artery gallbladder fistula masquerading as a pseudoaneurysm

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