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Updated: May 9, 2025

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Published on: November 10, 2014
Recurrent Endobronchial Coil Migration Associated With Needle Biopsy Following Pulmonary Artery Pseudoaneurysm
Michael H Koenig1, Mina S Makary2, Tejas Sinha3
1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Davis Heart and Lung Institute, College of Medicine The Ohio State University Wexner Medical Center Columbus Ohio USA.
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.
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