A noninterventional management approach to endovascular coil migration into the sigmoid colon

A 75-year-old man underwent endovascular treatment of a right internal iliac artery (IIA) aneurysm by placing coils in the distal IIA and occluding the inflow with a common iliac artery-to-external iliac artery stent graft. Surveillance computed tomography angiography discovered migration of an endo...

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Bibliographic Details
Published in:Journal of vascular surgery 2015-02, Vol.61 (2), p.507-509
Main Authors: Sexton, Jonathan J., MD, Whittaker, David R., MD
Format: Article
Language:English
Subjects:
Aged
Colon, Sigmoid - diagnostic imaging
Embolization, Therapeutic - adverse effects
Embolization, Therapeutic - instrumentation
Foreign-Body Migration - diagnosis
Foreign-Body Migration - etiology
Foreign-Body Migration - therapy
Humans
Iliac Aneurysm - therapy
Male
Predictive Value of Tests
Surgery
Time Factors
Tomography, X-Ray Computed
Watchful Waiting
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Description
Summary:A 75-year-old man underwent endovascular treatment of a right internal iliac artery (IIA) aneurysm by placing coils in the distal IIA and occluding the inflow with a common iliac artery-to-external iliac artery stent graft. Surveillance computed tomography angiography discovered migration of an endovascular coil from the thrombosed right IIA into the sigmoid colon. Subsequent serial imaging demonstrated uncomplicated extracorporeal passage of the coil. We review the relevant literature and treatment rationale.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2013.09.033