Jonathan J. Sexton, MD, David R. Whittaker, MD

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Presentation transcript:

A noninterventional management approach to endovascular coil migration into the sigmoid colon Jonathan J. Sexton, MD, David R. Whittaker, MD Journal of Vascular Surgery Volume 61, Issue 2, Pages 507-509 (February 2015) DOI: 10.1016/j.jvs.2013.09.033 Copyright © 2015 Terms and Conditions

Fig 1 Computed tomography angiography (CTA) at 1 month after the first-stage embolization procedure shows the embolized internal iliac artery (IIA) outflow vessels (arrow), the external iliac artery (arrowhead), and the IIA aneurysm (double arrowhead) juxtaposed to the sigmoid colon. Journal of Vascular Surgery 2015 61, 507-509DOI: (10.1016/j.jvs.2013.09.033) Copyright © 2015 Terms and Conditions

Fig 2 Computed tomography angiography (CTA) at 24 months after the procedures were completed shows the coil is now present within the sigmoid colon. Further axial images from this series demonstrate that the coil originates from the excluded internal iliac artery (IIA) aneurysm. Journal of Vascular Surgery 2015 61, 507-509DOI: (10.1016/j.jvs.2013.09.033) Copyright © 2015 Terms and Conditions

Fig 3 Computed tomography angiography (CTA) at 39 months after the procedures were completed shows the coil is no longer in the sigmoid colon. Further axial images show no other migrating coils or evidence of coils in any other locations. Journal of Vascular Surgery 2015 61, 507-509DOI: (10.1016/j.jvs.2013.09.033) Copyright © 2015 Terms and Conditions