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Elsayed M, Nezami N, Kokabi N, Scriver GM, Behairy MM, Majdalany BS. Percutaneous transhepatic cholangioscopy-guided lithotripsy and retrieval of vascular coils eroded into the biliary tree. Radiol Case Rep 2022; 18:444-448. [PMID: 36439934 PMCID: PMC9691415 DOI: 10.1016/j.radcr.2022.10.103] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Accepted: 10/30/2022] [Indexed: 11/25/2022] Open
Abstract
Endovascular coil erosion into the biliary system after hepatic artery embolization is a rare complication which may result in inflammation, strictures, choledocholithiasis, biliary colic, and cholangitis. Removal of coils may result in cessation of these symptoms, but is challenging in patients who cannot undergo removal via standard endoscopic approaches. This case report describes the retrieval of coils placed across a hepatic artery pseudoaneurysm, which over several years eroded into the biliary tree, resulting in calculi formation and post-prandial pain. Using combined fluoroscopy and cholangioscopy via percutaneous transhepatic accesses, the calculi were fragmented and the coils were retrieved, resulting in cessation of symptoms.
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Affiliation(s)
- Mohammad Elsayed
- Interventional Radiology Service, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Nariman Nezami
- Division of Vascular and Interventional Radiology, Department of Diagnostic Radiology and Nuclear Medicine, Baltimore, MD, USA
| | - Nima Kokabi
- Division of Interventional Radiology and Image-Guided Medicine, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA
| | - Geoffrey M. Scriver
- Division of Interventional Radiology, Department of Radiology, University of Vermont Medical Center, 111 Colchester Ave, Patrick 124, Burlington, VT, 05401, USA
| | - Moataz M. Behairy
- Division of Interventional Radiology, Department of Radiology, University of Vermont Medical Center, 111 Colchester Ave, Patrick 124, Burlington, VT, 05401, USA
| | - Bill S. Majdalany
- Division of Interventional Radiology, Department of Radiology, University of Vermont Medical Center, 111 Colchester Ave, Patrick 124, Burlington, VT, 05401, USA,Corresponding author.
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Ly M, Brown K, Coker D, Rice M. Endovascular coil erosion into the duodenum following gastroduodenal artery angioembolization. ANZ J Surg 2020; 90:1816-1818. [PMID: 32053249 DOI: 10.1111/ans.15715] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2019] [Revised: 11/24/2019] [Accepted: 01/12/2020] [Indexed: 01/06/2023]
Affiliation(s)
- Mark Ly
- Department of Surgery, Dubbo Base Hospital, Sydney, New South Wales, Australia
| | - Kilian Brown
- Department of Surgery, Dubbo Base Hospital, Sydney, New South Wales, Australia.,Surgical Outcomes Research Centre, Sydney, New South Wales, Australia.,The Institute of Academic Surgery at RPA, Sydney, New South Wales, Australia
| | - David Coker
- Department of Upper Gastrointestinal Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.,Discipline of Surgery, The University of Sydney, Sydney, New South Wales, Australia
| | - Mark Rice
- Department of Surgery, Dubbo Base Hospital, Sydney, New South Wales, Australia
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Gonzalez-Araiza G, Haddad L, Karageorgiou J. Migration of Nonfibered Packing Coils Used to Treat Peripheral Pseudoaneurysms: Report of 3 Cases. J Vasc Interv Radiol 2019; 30:1840-1844.e1. [DOI: 10.1016/j.jvir.2019.06.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2019] [Revised: 06/12/2019] [Accepted: 06/12/2019] [Indexed: 11/29/2022] Open
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