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Recurrent Endobronchial Coil Migration Associated With Needle Biopsy Following Pulmonary Artery Pseudoaneurysm Embolization

Year: 2025

Type: article

Abstract: Endobronchial coil migration is a rare complication of pulmonary artery embolization, occurring when coils erode through a vessel into an airway. We describe a patient who underwent embolization of pulmonary artery pseudoaneurysms associated with a lung mass. The unique aspect of this case is the development of recurrent endobronchial coil migration following a CT-guided core needle biopsy and a subsequent endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) of the mass. In both circumstances, the portion of the coil that migrated into the large airways was cut with endoscopic scissors and removed with a flexible bronchoscope. This case highlights that while cutting and removing a portion of a migrated coil bronchoscopically is an effective approach, it can be associated with a risk of recurrent coil migration, haemoptysis, and pneumonia.

Source: Respirology Case Reports

DOI: 10.1002/rcr2.70198

Authors: Michael H. Koenig, Mina S. Makary, Tejas Sinha, Jeffrey C. Horowitz, Nicholas Pastis

Institutions: The Ohio State University Wexner Medical Center, The Ohio State University, OhioHealth

Language: English

Topic: Vascular Anomalies and Treatments

Subfield: Genetics

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,130