Unlabelled: Endovascular coil embolization continues to become a more frequent modality of addressing hemorrhage and bleeding in patients. Migration refers to the coil unraveling or moving from the original embolization site. Migration of a coil is a known complication which can lead to serious consequences based on where the coil migrates. Despite increasing efforts to improve safety and technique, the risk of migration remains. We present a case of an embolization coil that migrated to the right ventricle, which was incidentally found roughly 2 months after undergoing an interventional radiology procedure for gastric variceal bleeding. The patient presented to the emergency department with dyspnea and abdominal pain. Unique images were obtained during his visit and in subsequent follow-up. As use of vascular embolization coils continues to become more commonplace, understanding the risks and complications of these procedures remains an important aspect of providing care for patients once they have left the interventional radiology suite. Coil migration should be a differential to consider in patients who present to the emergency department with signs or symptoms of arrhythmia or pulmonary embolism who have undergone a coil embolization procedure.
Topics: Case report, coil embolization, radiology.
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http://dx.doi.org/10.21980/J8PM00 | DOI Listing |
Medicina (Kaunas)
December 2024
Department of Pharmacy, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Rupture of the thyrocervical trunk aneurysm into the thoracic cavity does not occur very often. It is an urgent condition due to hemorrhagic shock by massive hemothorax with potentially fatal consequences. Pregnancy and puerperium are additional risk factors for a rupture of the thyrocervical trunk aneurysm in patients with neurofibromatosis and aneurysms.
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January 2025
Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
A 73-year-old male with a history of incidentally diagnosed Paget disease of bone affecting the skull and left orbit 2 years prior presented with 3 months of vision loss, proptosis, and periorbital swelling of the OS. Examination showed best-corrected Snellen visual acuity of 20/150 in the affected eye, intact motility, 7 mm of relative proptosis, significant dilated and tortuous "corkscrew" conjunctival vessels, serous choroidal and retinal detachments, optic nerve hyperemia, and venous tortuosity and dilation. Although the bony lesions in the left orbit were stable from 1 year prior on imaging, the diagnostic angiogram demonstrated osseous blush and hypervascularity of the lesion.
View Article and Find Full Text PDFOrbit
January 2025
Department of Neurosurgery, Haukeland University Hospital, Bergen, Norway.
Purpose: Carotid-cavernous fistulas (CCFs) are treated almost exclusively by endovascular techniques, but the frequency of treatments is limited in smaller centers. We analyzed all CCFs treated in our hospital to determine if high-quality treatment of CCFs can be provided in a medium-volume neurovascular center.
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World Neurosurg
January 2025
Department of Neurosurgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Background: Neuroendovascular treatment of cerebral aneurysms is considered a basic procedure for neurosurgeons and interventional neuroradiologists; however, its critical technical nuances, termed "tacit knowledge," are challenging to impart. This study aimed to evaluate the efficacy of our novel video recording and editing method in enhancing trainees' experience.
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Int J Cardiovasc Imaging
January 2025
Department of Cardiovascular Surgery, Jichi Medical University Saitama Medical Center, 1- 847 Amanuma-Cho, Omiya-Ku, Saitama, 330-8503, Japan.
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