Closure of a coronary to pulmonary artery fistula by radiofrequency catheter ablation in the pulmonary artery

Dietze, Thomas; Paliege, R; Berger, Daniela; Gradaus, Rainer; Neuzner, Jörg

doi:10.1007/s00392-013-0620-z

Cited by 6 publications

(3 citation statements)

References 7 publications

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“…The application of RF energy was transcoronary, resulting in complete closure of the target vessels . The first application of RF catheter ablation in humans was performed by Dietze et al in 2013 . They reported the successful RF ablation of a CPF via a transpulmonary approach after the failure of percutaneous closure with a duct occluder .…”

Section: Discussionmentioning

confidence: 99%

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Unilateral and Multilateral Congenital Coronary‐Pulmonary Fistulas in Adults: Clinical Presentation, Diagnostic Modalities, and Management With a Brief Review of the Literature

Saïd

Nijhuis

Akker

et al. 2014

Clinical Cardiology

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Background: Congenital coronary-pulmonary fistulas (CPFs) are commonly unilateral, but bilateral and multilateral fistulas may occur. In multilateral CPFs, the value of a multidetector computed tomography (MDCT) imaging technique as an adjuvant to coronary angiography (CAG) is eminent. The purpose of this study was to describe the clinical presentation, diagnostic modalities, and management of coincidentally detected congenital CPFs. Hypothesis: Unilateral and multilateral coronary-pulmonary fistulas are increasingly detected due to the wide speard application of multidetector computed tomography which might be a supplementary or replacing to conventional coronary angiography. Methods: We evaluated 14 adult patients with congenital coronary artery fistulas (CAFs) who were identified from several Dutch cardiology departments. Results: Fourteen adult patients (5 female and 9 male), with a mean age of 57.5 years (range, 24-80 years) had the following abnormal findings: audible systolic cardiac murmur (n = 4), chronic atrial fibrillation (n = 2), nonsustained ventricular tachycardia (n = 1), and cardiomegaly on chest x-ray (n = 2). Echocardiography revealed normal findings with trivial valvular abnormalities (n = 9), depressed left ventricle systolic function (n = 3), and severe mitral regurgitation and atrial dilatation (n = 2). The findings in the rest of the patients were unremarkable. CAG and MDCT were used as a diagnostic imaging techniques either alone (CAG, n = 6; MDCT, n = 1) or in combination (n = 7). Single modality and multimodality diagnostic methods revealed 22 fistulas including CPFs (n = 15), coronary cameral fistulas terminating into the right (n = 2) and the left atrium (n = 1), and systemic-pulmonary fistulas (n = 4). Of all of the fistulas, 10 were unilateral, 6 were bilateral, and 6 was hexalateral.13 N-ammonia positron emission tomography-computed tomography was performed in 3 patients revealing decreased myocardial perfusion reserve. Conclusions: CAG remains the gold standard for detection of CPFs. An adjuvant technique using MDCT provides full anatomical details of the fistulas.The authors have no funding, financial relationships, or conflicts of interest to disclose.

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Section: Discussionmentioning

confidence: 99%

“…The first application of RF catheter ablation in humans was performed by Dietze et al in 2013 . They reported the successful RF ablation of a CPF via a transpulmonary approach after the failure of percutaneous closure with a duct occluder . Furthermore, video‐guided thoracoscopic clipping of a CPF case has been reported…”

Section: Discussionmentioning

confidence: 99%

Unilateral and Multilateral Congenital Coronary‐Pulmonary Fistulas in Adults: Clinical Presentation, Diagnostic Modalities, and Management With a Brief Review of the Literature

Saïd

Nijhuis

Akker

et al. 2014

Clinical Cardiology

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“…The first application of radiofrequency catheter ablation was performed successfully by Dietze et al [52] in 2013 on a fistula from the proximal left anterior descending artery to the pulmonary artery.…”

Section: Treatment Optionsmentioning

confidence: 99%

Coronary Artery Fistulas: Case Series and Literature Review

Karazisi

Eriksson²,

Dellborg³

2016

Cardiology

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Congenital coronary artery fistulas are rare anomalies. As coronary angiography and multidetector computed tomography have become more accessible, they have been increasingly used in the investigation of chest pain and heart failure. Coronary artery fistulas are often an incidental finding, which raises the question of how patients with this condition should be managed. Intervention with either transcatheter closure or surgical closure is often technically possible. Many patients are asymptomatic early after closure. However, follow-up studies have shown post-closure sequelae, such as residual leakage, thrombosis with or without myocardial infarction, and coronary stenosis. Therefore, there has been a shift from intervention towards watchful waiting in asymptomatic patients. In this article, we review the published literature on the natural history and treatment outcomes in individuals with coronary artery fistulas. We present case reports from our clinic and discuss the management of incidental findings of coronary artery fistulas.

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Closure of coronary artery fistula in childhood: treatment techniques and long-term follow-up

et al. 2016

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Closure of a coronary to pulmonary artery fistula by radiofrequency catheter ablation in the pulmonary artery

Cited by 6 publications

References 7 publications

Unilateral and Multilateral Congenital Coronary‐Pulmonary Fistulas in Adults: Clinical Presentation, Diagnostic Modalities, and Management With a Brief Review of the Literature

Unilateral and Multilateral Congenital Coronary‐Pulmonary Fistulas in Adults: Clinical Presentation, Diagnostic Modalities, and Management With a Brief Review of the Literature

Coronary Artery Fistulas: Case Series and Literature Review

Closure of coronary artery fistula in childhood: treatment techniques and long-term follow-up

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