Authors
Tsitsiashvili M.Sh.1, 2, Frantsevich A.M.1, 2, Shaginyan A.K.2, Nikulenkov Yu.S.2
1 N.I. Pirogov Russian National Medical University, Moscow
2 City Clinical Hospital №57, Moscow
Abstract
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.
Keywords: ulcerative gastroduodenal bleeding, transarterial embolization of the gastroduodenal artery, migration of the endocascular coil.
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