# Endoscopic Visualization of the Embolization Coil With Subsequent Endoscopic Therapy: A Case Report

## TL;DR

This case report describes the successful use of over-the-scope clips to manage gastrointestinal bleeding after failed embolization.

## Contribution

The first reported use of OTSCs following partial coil migration after trans-arterial embolization.

## Key findings

- OTSCs were successfully used to manage rebleeding after failed TAE.
- The patient recovered well following OTSC application.
- OTSCs may prevent further coil migration in emergency gastrointestinal bleeding cases.

## Abstract

Severe gastrointestinal bleeding is a common presentation to the emergency department. In such settings, trans-arterial embolization (TAE) may be conducted to address the bleeding. However, in some circumstances, this treatment may fail. Over-the-scope clips (OTSCs) have also shown efficacy when the first-line treatment is unsuccessful, and in this case report, we describe what we believe is the first reported application of OTSCs after TAE with partial coil migration. The patient had initially arrived at the emergency department with severe gastrointestinal bleeding, and despite the usage of inotropes and TAE, the patient had developed severe rebleeding. She ultimately recovered well after the utilization of OTSCs. This case report highlights that this form of management may be a valuable endoscopic therapy in preventing further coil migration for patients with emergency gastrointestinal bleeding.