{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T16:32:25Z","timestamp":1771605145778,"version":"3.50.1"},"reference-count":10,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T00:00:00Z","timestamp":1594252800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: It is possible but rare for a pelvic coil to migrate to the pulmonary vasculature, which can cause cardiac damage, arrhythmias, pulmonary infarct, and thrombophlebitis. The few cases reported typically do not describe removal of the coils, as patients were asymptomatic.\n\nCase report: A 39-year-old female with recent coil embolization of her left internal iliac and ovarian veins for pelvic congestion syndrome presented with one month of right-sided chest pain and dyspnea. Imaging revealed a migrated pelvic coil in the patient\u2019s right main pulmonary artery with pulmonary infarcts and a pleural effusion.\n\nConclusion: Interventional radiology successfully removed the coil endovascularly, with significant symptom improvement. This prevented a more-invasive open surgical procedure and resolved symptoms without requiring long-term anticoagulation or monitoring.<\/jats:p>","DOI":"10.5811\/cpcem.2020.5.47463","type":"journal-article","created":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T13:21:11Z","timestamp":1597324871000},"page":"436-439","source":"Crossref","is-referenced-by-count":8,"title":["A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female"],"prefix":"10.5811","volume":"4","author":[{"given":"Angel","family":"Guerrero","sequence":"first","affiliation":[{"name":"Duke University Medical Center, Department of Surgery, Division of Emergency Medicine, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Theophanous","sequence":"additional","affiliation":[{"name":"Duke University Medical Center, Department of Surgery, Division of Emergency Medicine, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,7,9]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Ignacio EA, Dua R, Sarin S, et al. Pelvic congestion syndrome: diagnosis and treatment. Semin Interv Radiol. 2008;25(4):361-8.","DOI":"10.1055\/s-0028-1102998"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Gianturco C, Anderson JH, Wallace S. Mechanical devices for arterial occlusion. Am J Roentgenol. 1975;124(3):428-35.","DOI":"10.2214\/ajr.124.3.428"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Edwards RD, Robertson IR, MacLean AB, et al. Case report: pelvic pain syndrome--successful treatment of a case by ovarian vein embolization. Clin Radiol. 1993;47(6):429-31.","DOI":"10.1016\/s0009-9260(05)81067-0"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Maleux G, Stockx L, Wilms G, et al. Ovarian vein embolization for the treatment of pelvic congestion syndrome: long-term technical and clinical results. J Vasc Interv Radiol. 2000;11(7):859-64.","DOI":"10.1016\/s1051-0443(07)61801-6"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Ganeshan A, Upponi S, Hon LQ, et al. Chronic pelvic pain due to pelvic congestion syndrome: the role of diagnostic and interventional radiology. Cardiovasc Intervent Radiol. 2007;30(6):1105-11.","DOI":"10.1007\/s00270-007-9160-0"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Coil embolization to the right side of the heart after elective hypogastric vein embolization requiring open-heart surgery | Cath Lab Digest. https:\/\/www.cathlabdigest.com\/article\/Coil-Embolization-Right-Side-Heart-After-Elective-Hypogastric-Vein-Embolization-Requiring. Accessed October 14, 2019.","DOI":"10.1177\/1538574411414924"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"D\u2019Amato R, Figueira Gon\u00e7alves JM, Palmero Tejera JM. Pulmonary embolism due to metal coil migration after treatment of pelvic varices. Arch Bronconeumol Engl Ed. 2017;53(2):72.","DOI":"10.1016\/j.arbr.2016.11.026"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Le\u00f3n FX, Alba B, Arribas A, et al. A rare case of pulmonary embolism due to endovascular coil embolization and review of literature. Int J Respir Pulm Med. 5:094.","DOI":"10.23937\/2378-3516\/1410094"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Yamasaki W, Kakizawa H, Ishikawa M, et al. Migration to the pulmonary artery of nine metallic coils placed in the internal iliac vein for treatment of giant rectal varices. Acta Radiol Short Rep. 2012;1(6):arsr.2012.120024","DOI":"10.1258\/arsr.2012.120024"},{"key":"ref9","unstructured":"Tonkin J and Madden B. From ovarian coils to pulmonary emboli | B58. Who\u2019s bad: case reports in pulmonary vascular medicine I. 2018. Available at: https:\/\/www.atsjournals.org\/doi\/pdf\/10.1164\/ajrccm-conference.2018.197.1_MeetingAbstracts.A3700. Accessed October 20, 2019."}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T15:15:28Z","timestamp":1600269328000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/2rr850qs"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,9]]},"references-count":10,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,8,6]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.5.47463","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,7,9]]}}}