Percutaneous coronary artery fistula closurein adults: Technical and procedural aspects

Collins, Nicholas; Mehta, Rohit; Benson, Lee; Horlick, Eric

doi:10.1002/ccd.21085

Cited by 43 publications

(60 citation statements)

References 27 publications

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“…The clinical presentations consisted of dyspnea [111,112] , palpitations [69,81] , syncope [83] , angina pectoris [113,114] , chest pain [84] , fatigue [66,115] , CHF [45] and IE [39,40,43] . The termination of RCA fistulas was variable: RA 26%, RV 25%, PA 16%, CS 11%, left LV 12%, LA 3%, SVC 5%, RVOT 1% and PV 1% [33,41,72,70,110,116] . The clinical presentations were angina pectoris [27,35,79] , chest pain [9,31,51,117] , dyspnea [36,68] , palpitations [33] and syncope [118] .…”

Section: Abnormal Shadow On Chest X-raymentioning

confidence: 99%

“…The termination of RCA fistulas was variable: RA 26%, RV 25%, PA 16%, CS 11%, left LV 12%, LA 3%, SVC 5%, RVOT 1% and PV 1% [33,41,72,70,110,116] . The clinical presentations were angina pectoris [27,35,79] , chest pain [9,31,51,117] , dyspnea [36,68] , palpitations [33] and syncope [118] . In some cases, an abnormal shadow on a chest X-ray brought the subjects to further medical attention [34,119,120] .…”

Section: Abnormal Shadow On Chest X-raymentioning

confidence: 99%

“…Many reports from various parts of the world recording congenital CAFs in adults have been published during the last decade [22][23][24][25][26][27][28] . The pertinent diagnosis of congenital CAFs in adults has been published from different regions of the world [29][30][31][32][33][34][35][36] . A review of the world literature resulting in 304 patients between 2000 and 2010 to identify the current characteristics of congenital CAFs in adults is presented, and the important findings are discussed.…”

Section: Introductionmentioning

confidence: 99%

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Current characteristics of congenital coronary artery fistulas in adults: A decade of global experience

Saïd

2011

WJC

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AIM:To describe the characteristics of coronary artery fistulas (CAFs) in adults, including donor vessels and whether termination was cameral or vascular. METHODS:A PubMed search was performed for articles between 2000 and 2010 to describe the current characteristics of congenital CAFs in adults. A group of 304 adults was collected. Clinical data, presentations, diagnostic modalities, angiographic fistula findings and treatment strategies were gathered and analyzed. With regard to CAF origin, the subjects were tabulated into unilateral, bilateral or multilateral fistulas and compared. The group was stratified into two major subsets according to the mode of termination; coronary-cameral fistulas (CCFs) and coronary-vascular fistulas (CVFs). A comparison was made between the two subsets. Fistula-related major complications [aneurysm formation, infective endocarditis (IE), myocardial infarction (MI), rupture, pericardial effusion (PE) and tamponade] were described. Coronary artery-ventricular multiple micro-fistulas and acquired CAFs were excluded as well as anomalous origin of the coronary arteries from the pulmonary artery (PA). RESULTS:A total of 304 adult subjects (47% male) with congenital CAFs were included. The mean age was 51.4 years (range, 18-86 years), with 20% older than 65 years of age. Dyspnea (31%), chest pain (23%) and angina pectoris (21%) were the prevalent clinical presentations. Continuous cardiac murmur was heard in 82% of the subjects. Of the applied diagnostic modalities, chest X-ray showed an abnormal shadow in 4% of the subjects. The cornerstone in establishing the diagnosis was echocardiography (68%), and conventional contrast coronary angiography (97%). However, multislice detector computed tomography was performed in 16%. The unilateral fistula originated from the left in 69% and from the right coronary artery in 31% of the subjects. Most patients (80%) had unilateral fistulas, 18% presented with bilateral fistulas and 2% with multilateral fistulas. Termination into the PA was reported in unilateral (44%), bilateral (73%) and multilateral (75%) fistulas. Fistulas with multiple origins (bilateral and multilateral) terminated more frequently into the PA (29%) than into other sites (10.6%) (P = 0.000). Aneurysmal formation was found in 14% of all subjects. Spontaneous rupture, PE and tamponade were reported in 2% of all subjects. In CCFs, the mean age was 46.2 years whereas in CVFs mean age was 55.6 years (P = 0.003). IE (4%) was exclusively associated with CCFs, while MI (2%) was only found in subjects with CVFs. Surgical ligation was frequently chosen for unilateral (57%), bilateral (51%) and multilateral fistulas (66%), but percutaneous therapeutic embolization (PTE) was increasingly reported (23%, 17% and 17%, respectively). CONCLUSION:Congenital CAFs are currently detected in elderly patients. Bilateral fistulas are more frequently reported and PTE is more frequently applied as a therapeutic strategy in adults.

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Section: Abnormal Shadow On Chest X-raymentioning

confidence: 99%

Section: Abnormal Shadow On Chest X-raymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Current characteristics of congenital coronary artery fistulas in adults: A decade of global experience

Saïd

2011

WJC

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“…23 Percutaneous CAF closure is reported to yield a high degree of procedural success with low risk of serious complications. 7 During percutaneous closure of CAF, multiple devices have been used including coils, detachable balloons, covered stents, vascular plugs, atrial septal defect occluder, VSD occluder and PDA occluder. Over the years, there have been a series of transcatheter closure studies in up to 33 patients.…”

Section: Discussionmentioning

confidence: 99%

“…7,8 Angiographic views allowed adequate visualization of the fi stula (Figure-1a &b) in order to determine the appropriate site for device delivery, and the coil size required. A 5Fr 3.50 guide catheter (TERUMO Corp., Tokyo, Japan) was positioned at the left coronary ostium.…”

Section: Caf Occlusion With Cook Coilmentioning

confidence: 99%

Percutaneous closure of congenital coronary artery fistulae in 5 children: A single center experience

Yadav

2014

Asian J Med Sci

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Background and Aim: Coronary artery fistulae (CAF) are rare anomalies. In this study, we have done percutaneous closure of CAF in children with three different devices; ventricle septal defect (VSD) occluder, patent ductus arterious (PDA) occluder and Cook coil.Materials and Methods: We retrospectively reviewed all patients, admitted to our heart center inpatient department between September 2004 and April 2013, that had a percutaneous closure of CAF in our center, and evaluated outcomes of patients with CAF treated with cardiac catheterization.Results: A total of fi ve patients (3 females) ranged in age from7 months to 10 years with congenital CAF underwent percutaneous closure. The fistulae had origins from right coronary artery (RCA) and from left coronary artery (LCA) in 3 cases and 2 cases respectively. One RCA drained to right atrium and rest four drained to right ventricle. All 5 cases had a co ntinuous murmur. During closure, 2 fistulae closed with VSD occluder, 2 with PDA occluder & 1 with Cook coil. Percutaneous closure was successfully achieved in all the 5 patients. Follow-up studies showed that there was complete abolition without recanalization. No deaths occurred.Conclusion: Percutaneous closure of congenital CAF is very safe and effective in children with less complication and shorter hospital stay.DOI: http://dx.doi.org/10.3126/ajms.v6i4.11786 Asian Journal of Medical Sciences Vol.6(4) 2015 45-50

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Successful percutaneous closure of coronary artery fistula with angiographic follow‐up at 6 months

Hendry

Mahadevan

Fath‐Ordoubadi

2008

Cathet Cardio Intervent

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Percutaneous coronary artery fistula closurein adults: Technical and procedural aspects

Abstract: Transcatheter occlusion is a safe and effective method of therapy for symptomatic adults with CAF.

Cited by 43 publications

References 27 publications

Current characteristics of congenital coronary artery fistulas in adults: A decade of global experience

Current characteristics of congenital coronary artery fistulas in adults: A decade of global experience

Percutaneous closure of congenital coronary artery fistulae in 5 children: A single center experience

Successful percutaneous closure of coronary artery fistula with angiographic follow‐up at 6 months

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