Endovascular Coil Migration Into the Intestinal Lumen: Two Cases of Successful Nonoperative Management.
Document Type
Article
Publication Date
10-7-2018
Keywords
gastrointestinal bleed; intravascular coil migration; migrated coil
Abstract
Endovascular embolization of visceral arteries is commonly performed as treatment for aneurysms, pseudoaneurysms, and emboloradiation of liver tumors; while considered relatively safe, it is not without complications. We are reporting 2 cases of coil migration into the gastrointestinal tract. Patients were successfully managed without endoscopic or surgical coil removal. Patients were followed after discharge and noted to have no further complications from their migrated coils. These cases highlight the success of expectant management for coil migration. We recommend against invasive intervention for coil removal as first-line treatment for endovascular coil migration into the intestinal tract. We urge providers to weigh the risks and benefits of coil removal, prior to invasive intervention.
Area of Special Interest
Digestive Health
Specialty/Research Institute
Gastroenterology
Specialty/Research Institute
Surgery
