An Iatrogenic Coronary Arteriovenous Fistula Caused by Guidewire Trauma during Percutaneous Coronary Intervention

Oh, Se Won; Kim, Young Joong; Lim, Jong Gwan; Choi, Woong

doi:10.3904/kjm.2012.82.3.337

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…in the LAD. In only a few cases have coronary arteriovenous fistulae developed (as in our case) consequent to guidewire trauma, 4 and rarely has coil embolization 6 been performed to close the fistulous connection.…”

Section: Fig 4 Angiogram Shows Coil Embolization (Arrow) In the Postmentioning

confidence: 71%

“…Probable mechanisms of iatrogenic CAF are subintimal balloon inflation, guidewire-induced perforation, overexpansion of a coronary segment, and inappropri-ate wire-tracking. 4 Most iatrogenic CAFs during PCI involve communications between the coronary arteries and coronary veins 8 or the cardiac chambers. To our knowledge, in only one other case 7 has CAF drainage into the RV developed during PCI of the RCA, and it was managed conservatively.…”

Section: Discussionmentioning

confidence: 99%

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Coronary–Cameral Fistula Caused by Guidewire Trauma and Resolved by Coil Embolization

Banerjee¹,

Patra²

2016

Texas Heart Institute Journal

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A 57-year-old woman presented with effort angina. A coronary angiogram revealed critical 2-vessel disease, for which she subsequently underwent percutaneous coronary intervention. During angioplasty, a coronary guidewire-inadvertently passed into the right ventricle through the septal branches of the posterior descending coronary artery-caused a coronary artery-to-right ventricular fistula. This fistula was successfully closed percutaneously by coil embolization. To our knowledge, this is the first report of a case in which a coronary artery-to-right ventricular fistula caused by a guidewire was managed successfully by coil embolization.

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Section: Fig 4 Angiogram Shows Coil Embolization (Arrow) In the Postmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Coronary–Cameral Fistula Caused by Guidewire Trauma and Resolved by Coil Embolization

Banerjee¹,

Patra²

2016

Texas Heart Institute Journal

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“…Iatrogenic coronary fistulas in surgical procedures may develop secondary to septal myectomy, coronary artery bypass grafting, valvular replacement or repair, or correction of congenital anomalies [10], [11], [12]. They may also develop in some nonsurgical interventions such as endomyocardial biopsy, electrophysiological procedures, and percutaneous coronary interventions [13], [14], [15], [16], [17]. Because of the proximity of the LCx to the mitral valve annulus, this artery is more susceptible to either direct injury or distortion during mitral valve surgery [18].…”

Section: Discussionmentioning

confidence: 99%

Transcatheter coil embolization of iatrogenic coronary artery–left ventricle fistula after mitral valve replacement

Firuzi

Alemzadeh‐Ansari

Pouraliakbar

2017

Journal of the Saudi Heart Association

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Acquired causes of coronary fistulas are rare disorders and may develop following coronary atherosclerosis, infection, or trauma (iatrogenic). Iatrogenic coronary fistulas may be acquired secondary to surgical or nonsurgical interventions. We describe a case of an iatrogenic coronary artery-left ventricle fistula following mitral valve replacement surgery, presented with ventricular arrhythmia and heart failure. In a unique technique, we implanted three coils with the aid of a Scepter C balloon with inflation at the ostial portion of the left circumflex artery.

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A case report of an iatrogenic coronary cameral fistula treated by retrograde percutaneous coronary intervention

Ohayon

Matta

Boudou

2020

European Heart Journal - Case Reports

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Background Acquired coronary cameral fistula is an extremely rare condition that involves an abnormal communication between a coronary artery and a cardiac chamber. It usually occurs after chest trauma or cardiovascular interventions, such as percutaneous coronary intervention (PCI) and is associated with various outcomes, ranging from a stable status to haemodynamic instability. Acquired coronary cameral fistula frequently arises from the right coronary artery and drains generally into the right ventricle. Case summary We report the unusual case of a 56-year-old male patient referred to an invasive cardiology centre for a suspected left anterior descending (LAD) coronary–left ventricular (LV) fistula resulting from a primary PCI for an anterior ST-elevation myocardial infarction. Here, the confirmed LAD–LV fistula was successfully treated by retrograde PCI with covered stent implantation. Clinical and angiographic outcomes were favourable at 1-month follow-up. Discussion Coronary cameral fistula can be a severe complication of primary PCI. Various treatment strategies can be considered based on haemodynamic status and anatomical features. In the case described herein, the use of a retrograde approach led to permanent fistula closure and complete revascularization.

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An Iatrogenic Coronary Arteriovenous Fistula Caused by Guidewire Trauma during Percutaneous Coronary Intervention

Cited by 3 publications

References 9 publications

Coronary–Cameral Fistula Caused by Guidewire Trauma and Resolved by Coil Embolization

Coronary–Cameral Fistula Caused by Guidewire Trauma and Resolved by Coil Embolization

Transcatheter coil embolization of iatrogenic coronary artery–left ventricle fistula after mitral valve replacement

A case report of an iatrogenic coronary cameral fistula treated by retrograde percutaneous coronary intervention

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