Migration of endovascular coil from the gastroduodenal artery into the lumen of the duodenum after stopping bleeding from a duodenal ulcer
Автор: Tsitsiashvili M.Sh., Frantsevich A.M., Shaginyan A.K., Nikulenkov Yu.S.
Журнал: Вестник Национального медико-хирургического центра им. Н.И. Пирогова @vestnik-pirogov-center
Рубрика: Клинические наблюдения
Статья в выпуске: 2 т.19, 2024 года.
Бесплатный доступ
The rationale for the study. The study of long-term results, errors, dangers and complications of endovascular embolization in gastroduodenal bleeding. The purpose of the study. The probability of migration of the embolizing coil from the target vessel after stopping gastroduodenal bleeding. Methods. The patient is 76 years old, with a clinic of gastrointestinal bleeding caused by the migration of an embolizing coil installed 5 years ago into the gastroduodenal artery with active ulcerative bleeding. Verification of the diagnosis using EGDS, MSCT, and selective angiography. Results. The treatment used endoscopic extraction of the migrated coil in combination with conservative treatment of peptic ulcer disease. The result is recovery. Conclusion. There is a possibility of migration of embolizing coils. This complication is rare. Currently, it is necessary to develop recommendations to eliminate this complication. In this regard, the expediency of such clinical observations is obvious. Surgical tactics in each case should be individual.
Ulcerative gastroduodenal bleeding, transarterial embolization of the gastroduodenal artery, migration of the endocascular coil
Короткий адрес: https://sciup.org/140307050
IDR: 140307050 | DOI: 10.25881/20728255_2024_19_2_145