Unexpected Complications 25 Years after Coil Embolization for Pulmonary Arteriovenous Fistula

An 87-year-old woman who had undergone coil embolization 25 years ago for pulmonary arteriovenous fistula, which was diagnosed following repeated cerebral infarction, presented with massive hemoptysis. The coils migrated and were excreted in stool following hemoptysis during long-term follow-up. Alt...

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Published inInternal Medicine Vol. 62; no. 10; pp. 1521 - 1525
Main Authors So, Clara, Suzuki, Manabu, Iwaki, Yoshinobu, Sugiura, Yuriko, Suzuki, Yudai, Terayama, Yuriko, Iikura, Motoyasu, Izumi, Shinyu, Hojo, Masayuki, Sugiyama, Haruhito
Format Journal Article
LanguageEnglish
Published Japan The Japanese Society of Internal Medicine 15.05.2023
Japan Science and Technology Agency
Subjects
Aged, 80 and over
Arteriovenous Fistula - diagnostic imaging
Arteriovenous Fistula - etiology
Arteriovenous Fistula - therapy
Arteriovenous Malformations - complications
Case Report
Cerebral infarction
coil embolization
coil migration
complication
Embolization
Embolization, Therapeutic - adverse effects
Female
Fistulae
Hemoptysis
Hemoptysis - etiology
Hemoptysis - therapy
Humans
Internal medicine
pulmonary arteriovenous fistula
pulmonary arteriovenous malformation
Pulmonary Artery - abnormalities
Pulmonary Artery - diagnostic imaging
Pulmonary Veins - abnormalities
Pulmonary Veins - diagnostic imaging
pulmonary arteriovenous fistula
complication
pulmonary arteriovenous malformation
hemoptysis
coil migration
coil embolization
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Abstract An 87-year-old woman who had undergone coil embolization 25 years ago for pulmonary arteriovenous fistula, which was diagnosed following repeated cerebral infarction, presented with massive hemoptysis. The coils migrated and were excreted in stool following hemoptysis during long-term follow-up. Although the technical success rate of coil embolization for pulmonary arteriovenous malformations is extremely high, and coil embolization-related complications are rare, little is known about the long-term complications. We herein report the clinical course of our case, review previous reports related to coil migration as a long-term complication, and discuss the associated mechanism.
AbstractList An 87-year-old woman who had undergone coil embolization 25 years ago for pulmonary arteriovenous fistula, which was diagnosed following repeated cerebral infarction, presented with massive hemoptysis. The coils migrated and were excreted in stool following hemoptysis during long-term follow-up. Although the technical success rate of coil embolization for pulmonary arteriovenous malformations is extremely high, and coil embolization-related complications are rare, little is known about the long-term complications. We herein report the clinical course of our case, review previous reports related to coil migration as a long-term complication, and discuss the associated mechanism.
An 87-year-old woman who had undergone coil embolization 25 years ago for pulmonary arteriovenous fistula, which was diagnosed following repeated cerebral infarction, presented with massive hemoptysis. The coils migrated and were excreted in stool following hemoptysis during long-term follow-up. Although the technical success rate of coil embolization for pulmonary arteriovenous malformations is extremely high, and coil embolization-related complications are rare, little is known about the long-term complications. We herein report the clinical course of our case, review previous reports related to coil migration as a long-term complication, and discuss the associated mechanism.An 87-year-old woman who had undergone coil embolization 25 years ago for pulmonary arteriovenous fistula, which was diagnosed following repeated cerebral infarction, presented with massive hemoptysis. The coils migrated and were excreted in stool following hemoptysis during long-term follow-up. Although the technical success rate of coil embolization for pulmonary arteriovenous malformations is extremely high, and coil embolization-related complications are rare, little is known about the long-term complications. We herein report the clinical course of our case, review previous reports related to coil migration as a long-term complication, and discuss the associated mechanism.
ArticleNumber 0560-22
Author Izumi, Shinyu
So, Clara
Iikura, Motoyasu
Hojo, Masayuki
Sugiura, Yuriko
Sugiyama, Haruhito
Iwaki, Yoshinobu
Suzuki, Yudai
Suzuki, Manabu
Terayama, Yuriko
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Cites_doi 10.1183/16000617.0112-2016
10.1164/rccm.201107-1316IM
10.1007/BF02578671
10.1136/thoraxjnl-2021-216873
10.1016/j.rmcr.2020.101245
10.1016/j.chest.2016.02.439
10.5578/tt.69010
10.1056/NEJM195909242611301
10.5761/atcs.cr.16-00250
10.1186/s12890-021-01448-z
10.1016/j.radcr.2022.06.078
10.1056/NEJM198305193082005
10.1016/j.jvir.2020.12.026
10.1002/rcr2.478
10.1007/978-1-4471-1288-4_3
10.1097/00000441-194211000-00007
10.1002/14651858.CD008017.pub4
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Issue 10
Keywords pulmonary arteriovenous fistula
complication
pulmonary arteriovenous malformation
hemoptysis
coil migration
coil embolization
Language English
License The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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Correspondence to Dr.　Manabu Suzuki, manabu@nms.ac.jp
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References 12. Morita A, Komase Y, Ikehara M, et al. A patient with racemose hemangioma who coughed up the coils of a previous bronchial artery embolization. Kikanshigaku (J Jpn Soc Respir Endosc) 33: 114-118, 2011.
4. Hodgson CH, Burchell HB, Good CA, Clagett OT. Hereditary hemorrhagic telangiectasia and pulmonary arteriovenous fistula: survey of a large family. N Engl J Med 261: 625-636, 1959.
19. Simonneau G, Torbicki A, Dorfmüller P, Kim N. The pathophysiology of chronic thromboembolic pulmonary hypertension. Eur Respir Rev 26: 160112, 2017.
18. Schwertner A, Kohlbrenner RM, Seeley EJ, Lokken RP. Nonfibered packing coil embolization of pulmonary artery pseudoaneurysm resulting in a delayed endobronchial coil migration. J Vasc Interv Radiol 32: 626-628, 2021.
16. Ishikawa H, Omachi N, Ryuge M, Takafuji J, Hara M. Erratic coil migration in the bronchus after bronchial artery embolization. Respirol Case Rep 7: e00478, 2019.
6. Terry PB, White RI Jr, Barth KH, Kaufman SL, Mitchell SE. Pulmonary arteriovenous malformations. Physiologic observations and results of therapeutic balloon embolization. N Engl J Med 308: 1197-1200, 1983.
14. Elhusseiny M, Moawad A, AbdAlla D, Amer T. Pulmonary artery coil: unexpected expectorated foreign body. Chest 149: A421, 2016.
13. Wirtz DJ, Bhatt NY, Roble SL, Ghosh S, Magalang UJ. Endobronchial erosion of vascular embolic coil. Am J Respir Crit Care Med 185: 682, 2012.
1. Konno-Yamamoto A, Yamamoto S, Suzuki J, Fukami T, Kitani M, Matsui H. Migrated coil expectorated 12 years after embolization of pulmonary arteriovenous malformation, due probably to abscess formation around the coil. Respir Med Case Rep 31: 101245, 2020.
7. Hsu CC, Kwan GN, Thompson SA, Evans-Barns H, van Driel ML. Embolisation for pulmonary arteriovenous malformation. Cochrane Database Syst Rev 1: CD008017, 2015.
10. Umehara T, Aoki M, Kamimura G, et al. Coil intrabronchial migration in an arteriovenous malformation patient treated 10 years ago. Ann Thorac Cardiovasc Surg 23: 200-202, 2017.
5. Porstmann W. Therapeutic embolization of arteriovenous pulmonary fistula by catheter technique. In: Current concepts in pediatric radiology. Kelop O, Ed. Springer, Berlin, 1977: 23-31.
9. Hu TX, Oh SS, McWilliams JP. Bronchoscopy-guided removal of intrabronchial coil migration after coil embolization of pulmonary arteriovenous malformation. Radiol Case Rep 17: 3410-3414, 2022.
2. Churton T. Multiple aneurysms of the pulmonary artery. BMJ 1: 1223, 1897.
3. Hepburn J, Dauphinee JA. Successful removal of hemangioma of the lung followed by the disappearance of polycythemia. Am J Med Sci 204: 681-685, 1942.
11. Abad J, Villar R, Parga G, et al. Bronchial migration of pulmonary arterial coil. Cardiovasc Intervent Radiol 13: 345-346, 1990.
17. Doan J, Puchhalapalli K, Patel PJ, Gasparri M, Kurman JS, Benn BS. Bronchoscopic extraction of a migrated endovascular coil. Thorax 77: 526-527, 2021.
15. Yetkin NA, Tutar N. Intravascular coil migration to bronchus: review of the literature with two case reports. Tuberk Toraks 67: 307-313, 2019.
8. Wu Z, Lin J, Yang W, Jiang N, Huang N, Clavijo LC. Evaluation of percutaneous transcatheter embolization for pulmonary arteriovenous malformations. BMC Pulm Med 21: 77, 2021.
11
12
13
14
15
16
17
18
1
2
3
4
5
6
7
8
9
10
References_xml – reference: 16. Ishikawa H, Omachi N, Ryuge M, Takafuji J, Hara M. Erratic coil migration in the bronchus after bronchial artery embolization. Respirol Case Rep 7: e00478, 2019.
– reference: 6. Terry PB, White RI Jr, Barth KH, Kaufman SL, Mitchell SE. Pulmonary arteriovenous malformations. Physiologic observations and results of therapeutic balloon embolization. N Engl J Med 308: 1197-1200, 1983.
– reference: 13. Wirtz DJ, Bhatt NY, Roble SL, Ghosh S, Magalang UJ. Endobronchial erosion of vascular embolic coil. Am J Respir Crit Care Med 185: 682, 2012.
– reference: 18. Schwertner A, Kohlbrenner RM, Seeley EJ, Lokken RP. Nonfibered packing coil embolization of pulmonary artery pseudoaneurysm resulting in a delayed endobronchial coil migration. J Vasc Interv Radiol 32: 626-628, 2021.
– reference: 5. Porstmann W. Therapeutic embolization of arteriovenous pulmonary fistula by catheter technique. In: Current concepts in pediatric radiology. Kelop O, Ed. Springer, Berlin, 1977: 23-31.
– reference: 15. Yetkin NA, Tutar N. Intravascular coil migration to bronchus: review of the literature with two case reports. Tuberk Toraks 67: 307-313, 2019.
– reference: 10. Umehara T, Aoki M, Kamimura G, et al. Coil intrabronchial migration in an arteriovenous malformation patient treated 10 years ago. Ann Thorac Cardiovasc Surg 23: 200-202, 2017.
– reference: 14. Elhusseiny M, Moawad A, AbdAlla D, Amer T. Pulmonary artery coil: unexpected expectorated foreign body. Chest 149: A421, 2016.
– reference: 3. Hepburn J, Dauphinee JA. Successful removal of hemangioma of the lung followed by the disappearance of polycythemia. Am J Med Sci 204: 681-685, 1942.
– reference: 8. Wu Z, Lin J, Yang W, Jiang N, Huang N, Clavijo LC. Evaluation of percutaneous transcatheter embolization for pulmonary arteriovenous malformations. BMC Pulm Med 21: 77, 2021.
– reference: 17. Doan J, Puchhalapalli K, Patel PJ, Gasparri M, Kurman JS, Benn BS. Bronchoscopic extraction of a migrated endovascular coil. Thorax 77: 526-527, 2021.
– reference: 4. Hodgson CH, Burchell HB, Good CA, Clagett OT. Hereditary hemorrhagic telangiectasia and pulmonary arteriovenous fistula: survey of a large family. N Engl J Med 261: 625-636, 1959.
– reference: 1. Konno-Yamamoto A, Yamamoto S, Suzuki J, Fukami T, Kitani M, Matsui H. Migrated coil expectorated 12 years after embolization of pulmonary arteriovenous malformation, due probably to abscess formation around the coil. Respir Med Case Rep 31: 101245, 2020.
– reference: 19. Simonneau G, Torbicki A, Dorfmüller P, Kim N. The pathophysiology of chronic thromboembolic pulmonary hypertension. Eur Respir Rev 26: 160112, 2017.
– reference: 11. Abad J, Villar R, Parga G, et al. Bronchial migration of pulmonary arterial coil. Cardiovasc Intervent Radiol 13: 345-346, 1990.
– reference: 2. Churton T. Multiple aneurysms of the pulmonary artery. BMJ 1: 1223, 1897.
– reference: 12. Morita A, Komase Y, Ikehara M, et al. A patient with racemose hemangioma who coughed up the coils of a previous bronchial artery embolization. Kikanshigaku (J Jpn Soc Respir Endosc) 33: 114-118, 2011.
– reference: 7. Hsu CC, Kwan GN, Thompson SA, Evans-Barns H, van Driel ML. Embolisation for pulmonary arteriovenous malformation. Cochrane Database Syst Rev 1: CD008017, 2015.
– reference: 9. Hu TX, Oh SS, McWilliams JP. Bronchoscopy-guided removal of intrabronchial coil migration after coil embolization of pulmonary arteriovenous malformation. Radiol Case Rep 17: 3410-3414, 2022.
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  doi: 10.1164/rccm.201107-1316IM
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  doi: 10.1136/thoraxjnl-2021-216873
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  doi: 10.1016/j.chest.2016.02.439
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  doi: 10.5578/tt.69010
– ident: 3
  doi: 10.1056/NEJM195909242611301
– ident: 9
  doi: 10.5761/atcs.cr.16-00250
– ident: 7
  doi: 10.1186/s12890-021-01448-z
– ident: 8
  doi: 10.1016/j.radcr.2022.06.078
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  doi: 10.1016/j.jvir.2020.12.026
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  doi: 10.1002/rcr2.478
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  doi: 10.1007/978-1-4471-1288-4_3
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SubjectTerms Aged, 80 and over
Arteriovenous Fistula - diagnostic imaging
Arteriovenous Fistula - etiology
Arteriovenous Fistula - therapy
Arteriovenous Malformations - complications
Case Report
Cerebral infarction
coil embolization
coil migration
complication
Embolization
Embolization, Therapeutic - adverse effects
Female
Fistulae
Hemoptysis
Hemoptysis - etiology
Hemoptysis - therapy
Humans
Internal medicine
pulmonary arteriovenous fistula
pulmonary arteriovenous malformation
Pulmonary Artery - abnormalities
Pulmonary Artery - diagnostic imaging
Pulmonary Veins - abnormalities
Pulmonary Veins - diagnostic imaging
Title Unexpected Complications 25 Years after Coil Embolization for Pulmonary Arteriovenous Fistula
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