Rare Complication of Endoscopic Variceal Therapy: Wide-Complex Tachycardia Associated With Embolization of Glue and Coil

Kenneth Guber; Robert S Zilinyi; Elissa Driggin; Ali Soroush; Sara Welinsky; John Nathanson; Amrita Sethi; David Rubin

doi:10.1016/j.jaccas.2021.11.008

Rare Complication of Endoscopic Variceal Therapy: Wide-Complex Tachycardia Associated With Embolization of Glue and Coil

JACC Case Rep. 2022 Apr 6;4(7):433-437. doi: 10.1016/j.jaccas.2021.11.008.

Authors

Kenneth Guber¹, Robert S Zilinyi², Elissa Driggin², Ali Soroush³, Sara Welinsky³, John Nathanson³, Amrita Sethi³, David Rubin²

Affiliations

¹ Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
² Division of Cardiology, Columbia University Irving Medical Center, New York, New York, USA.
³ Division of Gastroenterology, Columbia University Irving Medical Center, New York, New York, USA.

Abstract

We present the case of a woman with upper gastrointestinal bleeding secondary to gastric varices requiring endoscopic cyanoacrylate glue and coil embolization. The procedure was complicated by regular, wide-complex tachycardia, with further investigation revealing cardiopulmonary migration of the glue and coil. (Level of Difficulty: Advanced.).

Keywords: CT, computed tomography; EUS, endoscopic ultrasound; PARTO, plug-assisted retrograde transvenous obliteration; PVC, premature ventricular contraction; RVOT, right ventricular outflow tract; VT, ventricular tachycardia; WCT, wide-complex tachycardia; gastric varices; iatrogenic complication; wide-complex tachycardia.

Publication types

Case Reports