Skip to main content
Top
Published in: CardioVascular and Interventional Radiology 5/2011

01-10-2011 | Letter to the Editor

Extravascular Submucosal Coil Migration After Transcatheter Arterial Embolization for a Massively Bleeding Duodenal Ulcer

Authors: Keigo Chosa, Akira Naito, Kazuo Awai

Published in: CardioVascular and Interventional Radiology | Issue 5/2011

Login to get access

Excerpt

The standard treatment for upper gastrointestinal bleeding is endoscopic hemostasis [1, 2]; it achieves bleeding control in most patients [13]. If it is difficult to locate the source of bleeding and/or to control massive bleeding in the stomach or duodenum, transcatheter arterial embolization (TAE) is as an alternative treatment [4]. We encountered a patient with coil penetration beneath the duodenal surface after TAE. The coil was gradually covered by epithelium of the mucous membrane and there were no sequelae. That is to say, it seemed that the coil migrated into duodenal submucosa due to the collapse of wall structure of an artery and intestinal tract, resulting in spontaneous healing. …
Literature
1.
go back to reference Burkun A, Bardou M, Marshal JK (2003) Consensus recommendations for managing patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med 139:843–857 Burkun A, Bardou M, Marshal JK (2003) Consensus recommendations for managing patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med 139:843–857
2.
go back to reference Sarin A, Monga N, Adams PC (2009) Time to endoscopy and outcomes in upper gastrointestinal bleedings. Can J Gastroenterol 23:489–493PubMed Sarin A, Monga N, Adams PC (2009) Time to endoscopy and outcomes in upper gastrointestinal bleedings. Can J Gastroenterol 23:489–493PubMed
3.
go back to reference Liou TC, Lin SC, Wang HY et al (2006) Optimal injection volume of epinephrine for endoscopic treatment of peptic ulcer bleeding. World J Gastroenterol 12:3108–3113PubMed Liou TC, Lin SC, Wang HY et al (2006) Optimal injection volume of epinephrine for endoscopic treatment of peptic ulcer bleeding. World J Gastroenterol 12:3108–3113PubMed
4.
go back to reference Loffroy R, Guiu B (2009) Role of transcatheter arterial embolization for massive bleeding from gastroduodenal ulcers. World J Gastroenterol 15(47):5889–5897PubMedCrossRef Loffroy R, Guiu B (2009) Role of transcatheter arterial embolization for massive bleeding from gastroduodenal ulcers. World J Gastroenterol 15(47):5889–5897PubMedCrossRef
5.
go back to reference Qvist P, Arnesen KE, Jacobsen CD et al (1994) Endoscopic treatment and restrictive surgical policy in the management of peptic ulcer bleeding. Five years’ experience in a central hospital. Scand J Gastroenterol 29:569–576PubMedCrossRef Qvist P, Arnesen KE, Jacobsen CD et al (1994) Endoscopic treatment and restrictive surgical policy in the management of peptic ulcer bleeding. Five years’ experience in a central hospital. Scand J Gastroenterol 29:569–576PubMedCrossRef
6.
go back to reference Aina R, Oliva VL, Therasse E et al (2001) Arterial embolotherapy for upper gastrointestinal hemorrhage: outcome assessment. J Vasc Interv Radiol 12:195–200PubMedCrossRef Aina R, Oliva VL, Therasse E et al (2001) Arterial embolotherapy for upper gastrointestinal hemorrhage: outcome assessment. J Vasc Interv Radiol 12:195–200PubMedCrossRef
7.
go back to reference Shapiro N, Brandt L, Sprayregan S et al (1981) Duodenal infarction after therapeutic Gelfoam embolization of a bleeding duodenal ulcer. Gastroenterology 80:176–180PubMed Shapiro N, Brandt L, Sprayregan S et al (1981) Duodenal infarction after therapeutic Gelfoam embolization of a bleeding duodenal ulcer. Gastroenterology 80:176–180PubMed
8.
go back to reference Goldman ML, Land WC, Bradley EL et al (1976) Transcatheter therapeutic embolization in the management of massive upper gastrointestinal bleeding. Radiology 120:513–521PubMed Goldman ML, Land WC, Bradley EL et al (1976) Transcatheter therapeutic embolization in the management of massive upper gastrointestinal bleeding. Radiology 120:513–521PubMed
9.
go back to reference Takahashi T, Shimada K, Kobayashi N et al (2001) Migration of steel-wire coils into the stomach after transcatheter arterial embolization for a bleeding splenic artery pseudoaneurysm: report of a case. Surg Today 31:458–462PubMedCrossRef Takahashi T, Shimada K, Kobayashi N et al (2001) Migration of steel-wire coils into the stomach after transcatheter arterial embolization for a bleeding splenic artery pseudoaneurysm: report of a case. Surg Today 31:458–462PubMedCrossRef
10.
go back to reference Dinter DJ, Rexin M, Kaehler G et al (2007) Fatal coil migration into the stomach 10 years after endovascular celiac aneurysm repair. J Vasc Interv Radiol 18:117–120PubMedCrossRef Dinter DJ, Rexin M, Kaehler G et al (2007) Fatal coil migration into the stomach 10 years after endovascular celiac aneurysm repair. J Vasc Interv Radiol 18:117–120PubMedCrossRef
11.
go back to reference Chatterjee S, Bodhey NK, Gupta AK et al (2010) Coil migration through skin after posterior tibial artery pseudoaneurysm trapping. Cardiovasc Intervent Radiol. doi:10.1007/s00270-010-9962-3 Chatterjee S, Bodhey NK, Gupta AK et al (2010) Coil migration through skin after posterior tibial artery pseudoaneurysm trapping. Cardiovasc Intervent Radiol. doi:10.​1007/​s00270-010-9962-3
12.
go back to reference Shah NA, Akingboye A, Haldipur N et al (2007) Embolization coils migrating and being passed per rectum after embolization of a splenic artery pseudoaneurysm, “the migrating coil”: a case report. Cardiovasc Intervent Radiol 30(6):1259–1262PubMedCrossRef Shah NA, Akingboye A, Haldipur N et al (2007) Embolization coils migrating and being passed per rectum after embolization of a splenic artery pseudoaneurysm, “the migrating coil”: a case report. Cardiovasc Intervent Radiol 30(6):1259–1262PubMedCrossRef
Metadata
Title
Extravascular Submucosal Coil Migration After Transcatheter Arterial Embolization for a Massively Bleeding Duodenal Ulcer
Authors
Keigo Chosa
Akira Naito
Kazuo Awai
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 5/2011
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-011-0102-5

Other articles of this Issue 5/2011

CardioVascular and Interventional Radiology 5/2011 Go to the issue