Catheter-based techniques for closure of coronary fistulae

✍ Scribed by Gerald Dorros; Venkat Thota; Keshav Ramireddy; George Joseph

• Book ID: 101317634
• Publisher: John Wiley and Sons
• Year: 1999
• Tongue: English
• Weight: 374 KB
• Volume: 46
• Category: Article
• ISSN: 1522-1946
• DOI: 10.1002/(sici)1522-726x(199902)46:2<143::aid-ccd6>3.0.co;2-e

✦ Synopsis

This study details different methodologies of percutaneous closure of arteriosystemic and arteriovenous coronary fistula. Seven patients underwent transcatheter intervention of 10 fistulas, with 7 fistulas successfully closed: 6 with embolic coil devices and 1 with a covered stent obstructing the fistula ostium. The major complication encountered was one death as a result of device recoil into a major epicardial vessel. Percutaneous transcatheter closure of coronary fistulas appears to be simple, facile, and effective. However, device recoil into an undesired arterial segment, while irritating in a noncoronary arterial tree, may be catastrophic when occurring in an epicardial coronary artery.