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首页> 外文期刊>Respirology Case Reports >Erratic coil migration in the bronchus after bronchial artery embolization
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Erratic coil migration in the bronchus after bronchial artery embolization

机译:支气管动脉栓塞后支气管中的不稳定线圈迁移

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Herein, we report two cases of erratic coil migration from the bronchial artery to the bronchus after bronchial artery embolization (BAE). Neither patient exhibited haemoptysis recurrence, but chest radiographs revealed that part of the coil had disappeared. In Case 1, the patient coughed up the coil 4.5?years after BAE. We performed repeat BAE to minimize the possibility of haemoptysis considering bronchoscopic and angiographic findings. In Case 2, the patient had severe dry cough 2?years after BAE. Chest radiography showed migrated coils in the trachea; bronchoscopy revealed a migrated fragment of the coil protruding from the elevated mucosa. We used a loop cutter to split the coil and then removed it using forceps. Coil migration to the bronchus is an infrequent late‐stage complication of super‐selective bronchial artery coil embolization, and only one other case has been reported. Accordingly, we propose treatment strategies and speculate on the mechanism of fistula formation.
机译:在此,我们在支气管动脉栓塞(BAE)之后向支气管中报告两种不稳定的线圈迁移到支气管。既不表现出血液术复发,但胸部射线照相透露,其中部分的线圈已经消失。在案例1中,患者咳出了线圈4.5?BAE后几年。我们进行重复BAE,以最小化考虑支气管镜和血管造影结果的血肿性的可能性。在2例2中,患者在BAE后的2年后咳嗽2?胸部射线照相显示气管中的迁移线圈;支气管镜检查揭示了从近粘膜突出的线圈的迁移片段。我们使用环路刀具来分割线圈,然后使用镊子将其移除。线圈迁移到支气管是超选择性支气管动脉线圈栓塞的不常见的后期并发症,并且仅报告了一个其他案例。因此,我们提出了治疗策略和推测瘘管形成的机制。

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