Passage of Embolization Coil Through Urinary Collecting System One Year After Embolization

Reed, Amanda Beth; Suri, Rajeev; Marcovich, Robert

doi:10.1016/j.urology.2007.09.007

Cited by 21 publications

(19 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…18 Other reports describe coil migration from a coeliac trunk aneurysm, via an aortogastric fistula and leading to fatal upper GI haemorrhage; 19 from a renal artery aneurysm, through the renal collecting system to be passed via the urinary tract; 20 and from a pulmonary artery aneurysm into the bronchus. 21 Further identified reports describe endovascular coil migration following the embolisation of a pseudoaneurysm, aneurysm or vascular abnormality from various nonvisceral arterial sites including through the middle ear in a patient who had undergone embolisation of an internal carotid pseudoaneurysm; 22 from a superior gluteal vessel following embolisation of a haematoma; 23 and multiple reports of migration from intracranial aneurysms to alternate sites within the intra-cerebral circulation.…”

Section: Skipworth Morkane Raptis Kennedy Johal Pendse Brennand Daminmentioning

confidence: 99%

Coil migration – a rare complication of endovascular exclusion of visceral artery pseudoaneurysms and aneurysms

Skipworth

Morkane

Raptis

et al. 2011

annals

View full text Add to dashboard Cite

INTRODUCTIONWe describe a case of metallic, angiographic coil migration, following radiological exclusion of a gastroduodenal artery pseudoaneurysm secondary to chronic pancreatitis. PATIENTS AND METHODS A 55-year-old man presented to the out-patient clinic with chronic, intermittent, post-prandial, abdominal pain, associated with nausea, vomiting and weight loss. He was known to have chronic pancreatitis and liver disease secondary to alcohol abuse and previously underwent angiographic exclusion of a gastroduodenal artery pseudoaneurysm. During subsequent radiological and endoscopic investigation, an endovascular coil was discovered in the gastric pylorus, associated with ulceration and cavitation. This patient was managed conservatively and enterally fed via naso-jejunal catheter endoscopically placed past the site of the migrated coil. This patient is currently awaiting biliary bypass surgery for chronic pancreatitis, and definitive coil removal will occur concurrently. CONCLUSIONS Literature review reveals that this report is only the eighth to describe coil migration following embolisation of a visceral artery pseudoaneurysm or aneurysm. Endovascular embolisation of pseudoaneurysms and aneurysms is generally safe and effective. More common complications of visceral artery embolisation include rebleeding, pseudoaneurysm reformation and pancreatitis.

show abstract

Section: Skipworth Morkane Raptis Kennedy Johal Pendse Brennand Daminmentioning

confidence: 99%

Coil migration – a rare complication of endovascular exclusion of visceral artery pseudoaneurysms and aneurysms

Skipworth

Morkane

Raptis

et al. 2011

annals

View full text Add to dashboard Cite

show abstract

“…Yoon et al 9 reported a case of migration of coils and guidewires from a treated renal AVM to the descending colon. Reed et al 10 reported a case of passage of coil into the collecting system at 1 year post embolization.…”

Section: Discussionmentioning

confidence: 99%

Erosion of Embolization Coils into the Renal Collecting System Mimicking Stone

Phan¹,

Lall²,

Moskowitz³

et al. 2012

WestJEM

View full text Add to dashboard Cite

Urinary tract interventions can lead to multiple complications in the renal collecting system, including retained foreign bodies from endourologic or percutaneous procedures, such as stents, nephrostomy tubes, and others. We report a case of very delayed erosion of embolization coils migrating into the renal pelvis, acting as a nidus for stone formation, causing mild obstruction and finally leading to gross hematuria roughly 18 years post transarterial embolization. History is significant for a remote unsuccessful endopyelotomy attempt that required an urgent embolization.

show abstract

“…We found only three case reports in which embolization coil migrated to the collecting system. [8–10] In all these case reports the coil eroded after 1 year following embolization. All the three patients presented with hematuria and renal colic.…”

Section: Discussionmentioning

confidence: 99%

“…[10] First, the diameter of arteriocaliceal communication might be larger than the embolization coil, and the coil gets extruded through the communication soon after placement. Second, the arteriocaliceal communication could get dilated over time because of inflammation due to infection or the constant irritation from the indwelling coil itself, leading to eventual erosion into the collecting system.…”

Section: Discussionmentioning

confidence: 99%

Migrated embolization coil: A rare cause of urinary tract obstruction

Bhageria¹,

Seth²,

Bora³

2012

Indian J Urol

View full text Add to dashboard Cite

Refractory bleeding following percutaneous nephrolithotomy (PCNL) is mainly due to formation of pseudoaneurysm. Transarterial embolization is required to control the bleeding in such cases. We report a case of post-PCNL hematuria in whom angioembolization was done. An early erosion of the embolization coil from the renal vasculature into the urinary collecting system occurred, causing urinary tract obstruction and urinary tract infection (UTI). The coil was retrieved ureteroscopically after control of UTI with antibiotics. Migration of embolization coil into urinary collecting system is a rare but important cause of urinary tract obstruction. The treating physician as well as the patient should be aware of this complication.

show abstract

Passage of Embolization Coil Through Urinary Collecting System One Year After Embolization

Cited by 21 publications

References 4 publications

Coil migration – a rare complication of endovascular exclusion of visceral artery pseudoaneurysms and aneurysms

Coil migration – a rare complication of endovascular exclusion of visceral artery pseudoaneurysms and aneurysms

Erosion of Embolization Coils into the Renal Collecting System Mimicking Stone

Migrated embolization coil: A rare cause of urinary tract obstruction

Contact Info

Product

Resources

About