Acute pulmonary embolism due to coils after embolization of pelvic varices. Report of cases and review of the literature

Authors

  • Sara Vélez Garcés Clínica CES
  • Alexander Aguilar Arias Cl´ínica CES
  • Juan David Vásquez Montoya Universidad Pontificia Bolivariana-CEDIMED, Medellín
  • Pedro Abad Díaz Universidad CES. Medellín
  • María Isabel Carvajal Ayudas diagnósticas SURA
  • Caterin Arévalo Z. Universidad de Antioquia. Medellín

DOI:

https://doi.org/10.53903/01212095.200

Keywords:

Pelvic varicose veins, Embolization, Coils, Embolism, Pulmonary.

Abstract

Coil embolization is a therapy with excellent results for patients with pelvic congestion syndrome with persistent or recurrent pelvic pain, and with low complication rate. One of the most serious problems associated with these procedures is non-thrombotic pulmonary embolism, which is rare but is associated with clot formation, infection, pulmonary infarction, bronchial erosion and even death. Most patients are asymptomatic, and less than 6 % of patients are symptomatic, with dyspnea and palpitations being the most frequently presented symptoms. The diagnostic modality of choice is contrast enhanced computed axial tomography and the preferred treatment modality continues to be device retrieval via the endovascular route. In this article we present 2 cases of
associated acute non-thrombotic pulmonary embolism associated with complication of pelvic variceal embolization in patients with pelvic congestion syndrome.

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References

Endovascular approach for non-thrombotic pulmonary embolism due to metal coil migration after treatment of pelvic varicose vein

F.X. León, B. Alba, A. Arribas, R. García, I. García, C.A. Quezada. A rare case of pulmonary embolism due to endovascular coil embolization and review of literature. Int J Respir Pulm Med, 5 (2018), pp. 094.

K.K. Shashi, G. Chaudry, A. Alomari, R. Chewning. Massive coil nest migration: endovascular retrieval. J Vasc Interv Radiol, 30 (2019), pp. 1610-1611.

R. D’Amato, J.M. Figueira Gonçalves, J.M. Palmero Tejera. Embolismo pulmonar por migración de coil metálico tras tratamiento de varices pélvicas. Arch Bronconeumol, 53 (2017), pp. 72.

E.Z. Moriel, C.M. Mehringer, M. Schwartz, J. Rajfer. Pulmonary migration of coils inserted for treatment of erectile dysfunction caused by venous leakage. J Urol, 149 (1993), pp. 1316-131

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Published

2022-09-30

How to Cite

(1)
Vélez Garcés, S.; Aguilar Arias, A.; Vásquez Montoya, J. D.; Abad Díaz, P.; Carvajal, M. I.; Arévalo Z., C. Acute Pulmonary Embolism Due to Coils After Embolization of Pelvic Varices. Report of Cases and Review of the Literature. Rev. colomb. radiol. 2022, 33, 5837-5840.

Issue

Vol. 33 No. 3 (2022): Julio - Septiembre

Section

Case reports

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