1Saad Rehman

1Hamad Medical Corporation

Background(s):

Coil migration during embolization is not uncommon. We encountered a case where post-CARTO coil migrated into the pulmonary artery.

Material(s) and Method(s):

BARTO/CARTO are commonly performed procedures for the treatment of gastric varices. We perform such procedures in our institute routinely. In one of the instances, all of the coils used for CARTO migrated en-mass into the left pulmonary artery. The coils were successfully removed using a combination of snares and forceps.

Result(s):

The large coil was lodged at the origin of the lower lobe branch of the left pulmonary artery. The coil was removed using a combination of snares and forceps successfully.

Conclusion(s):

Coil removal is a technically difficult procedure and should be undertaken with care. We demonstrated by using forceps with snares this can be achieved successfully without complications.