One case of left anterior descending artery fistula-right ventricle complicating rotablator atherectomy with spontaneous occlusion in a following coronary angiogram

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

“…1 Iatrogenic CAF is seen in approximately 0.25% of cases, usually after myocardial infarction, endomyocardial biopsy, thoracic trauma, or cardiac surgery, or during complex percutaneous coronary intervention (PCI) with the use of rotablation. 2,3 Guidewire-induced CAF is rarely reported, 4 so its line of management is not fully understood. However, several approaches, such as coil embolization, covered-stent deployment, balloon occlusion, surgery, and even conservative management, have been reported.…”