Coil and n-butyl-2-cyanoacrylate migration into the stomach after TIPS for gastroesophageal variceal bleeding: a case report and literature review
Abstract Background Transjugular intrahepatic portosystemic shunt (TIPS) is a well-established therapeutic option for the management of variceal hemorrhage in patients with cirrhosis. The simultaneous migration of the coil and n-butyl-2-cyanoacrylate (NBCA) is an extremely rare but significant compl...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-022-02062-8 |
| _version_ | 1811302365055156224 |
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| author | Yue-Lin Zhang Chun-Hui Nie Tan-Yang Zhou Guan-Hui Zhou Tong-Yin Zhu Sheng-Qun Chen Hong-Liang Wang Bao-Quan Wang Zi-Niu Yu Li Jing Qi Xia Hong-Tan Chen Jun-Hui Sun |
| author_facet | Yue-Lin Zhang Chun-Hui Nie Tan-Yang Zhou Guan-Hui Zhou Tong-Yin Zhu Sheng-Qun Chen Hong-Liang Wang Bao-Quan Wang Zi-Niu Yu Li Jing Qi Xia Hong-Tan Chen Jun-Hui Sun |
| author_sort | Yue-Lin Zhang |
| collection | DOAJ |
| description | Abstract Background Transjugular intrahepatic portosystemic shunt (TIPS) is a well-established therapeutic option for the management of variceal hemorrhage in patients with cirrhosis. The simultaneous migration of the coil and n-butyl-2-cyanoacrylate (NBCA) is an extremely rare but significant complication after TIPS. Because of its rare presentation, there are currently no definitive recommendations for the management of this condition. Case presentation A 46-year-old man with hepatitis B cirrhosis underwent TIPS placement for uncontrolled gastroesophageal varix (GEV) bleeding secondary to portal hypertension in August 2018. During the procedure, large GEVs were embolized using a coil and NBCA. After a year, coil and NBCA migration into the stomach was observed. Attempts to remove the coil using biopsy forceps during esophagogastroduodenoscopy failed. The patient refused further intervention on the coil to prevent further complications and received conservative therapy instead. Close surveillance with endoscopy is recommended for detecting coils and varices. Conclusions The present case reports an extremely rare but significant complication after TIPS, which highlights the management and follow-up recommendation for such rare complications. Our experience may provide guidance for the management of future similar cases and stimulate discussion about treatment methods of similar patients. |
| first_indexed | 2024-04-13T07:26:46Z |
| format | Article |
| id | doaj.art-4225c8a75f2c4aa4bf4dd670c33ae757 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-13T07:26:46Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-4225c8a75f2c4aa4bf4dd670c33ae7572022-12-22T02:56:28ZengBMCJournal of Cardiothoracic Surgery1749-80902022-12-011711610.1186/s13019-022-02062-8Coil and n-butyl-2-cyanoacrylate migration into the stomach after TIPS for gastroesophageal variceal bleeding: a case report and literature reviewYue-Lin Zhang0Chun-Hui Nie1Tan-Yang Zhou2Guan-Hui Zhou3Tong-Yin Zhu4Sheng-Qun Chen5Hong-Liang Wang6Bao-Quan Wang7Zi-Niu Yu8Li Jing9Qi Xia10Hong-Tan Chen11Jun-Hui Sun12Hepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineHepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineHepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineHepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineHepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineHepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineHepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineHepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineHepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineHepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineDepartment of Infectious Disease, State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of MedicineDepartment of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of MedicineHepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of MedicineAbstract Background Transjugular intrahepatic portosystemic shunt (TIPS) is a well-established therapeutic option for the management of variceal hemorrhage in patients with cirrhosis. The simultaneous migration of the coil and n-butyl-2-cyanoacrylate (NBCA) is an extremely rare but significant complication after TIPS. Because of its rare presentation, there are currently no definitive recommendations for the management of this condition. Case presentation A 46-year-old man with hepatitis B cirrhosis underwent TIPS placement for uncontrolled gastroesophageal varix (GEV) bleeding secondary to portal hypertension in August 2018. During the procedure, large GEVs were embolized using a coil and NBCA. After a year, coil and NBCA migration into the stomach was observed. Attempts to remove the coil using biopsy forceps during esophagogastroduodenoscopy failed. The patient refused further intervention on the coil to prevent further complications and received conservative therapy instead. Close surveillance with endoscopy is recommended for detecting coils and varices. Conclusions The present case reports an extremely rare but significant complication after TIPS, which highlights the management and follow-up recommendation for such rare complications. Our experience may provide guidance for the management of future similar cases and stimulate discussion about treatment methods of similar patients.https://doi.org/10.1186/s13019-022-02062-8Transjugular intrahepatic portosystemic shunt (TIPS)Variceal bleedingCoiln-butyl-2-cyanoacrylate (NBCA)Case report |
| spellingShingle | Yue-Lin Zhang Chun-Hui Nie Tan-Yang Zhou Guan-Hui Zhou Tong-Yin Zhu Sheng-Qun Chen Hong-Liang Wang Bao-Quan Wang Zi-Niu Yu Li Jing Qi Xia Hong-Tan Chen Jun-Hui Sun Coil and n-butyl-2-cyanoacrylate migration into the stomach after TIPS for gastroesophageal variceal bleeding: a case report and literature review Journal of Cardiothoracic Surgery Transjugular intrahepatic portosystemic shunt (TIPS) Variceal bleeding Coil n-butyl-2-cyanoacrylate (NBCA) Case report |
| title | Coil and n-butyl-2-cyanoacrylate migration into the stomach after TIPS for gastroesophageal variceal bleeding: a case report and literature review |
| title_full | Coil and n-butyl-2-cyanoacrylate migration into the stomach after TIPS for gastroesophageal variceal bleeding: a case report and literature review |
| title_fullStr | Coil and n-butyl-2-cyanoacrylate migration into the stomach after TIPS for gastroesophageal variceal bleeding: a case report and literature review |
| title_full_unstemmed | Coil and n-butyl-2-cyanoacrylate migration into the stomach after TIPS for gastroesophageal variceal bleeding: a case report and literature review |
| title_short | Coil and n-butyl-2-cyanoacrylate migration into the stomach after TIPS for gastroesophageal variceal bleeding: a case report and literature review |
| title_sort | coil and n butyl 2 cyanoacrylate migration into the stomach after tips for gastroesophageal variceal bleeding a case report and literature review |
| topic | Transjugular intrahepatic portosystemic shunt (TIPS) Variceal bleeding Coil n-butyl-2-cyanoacrylate (NBCA) Case report |
| url | https://doi.org/10.1186/s13019-022-02062-8 |
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