Transcatheter Coil Embolization of a High-Flow Coronary Artery Fistula Using 0.052-Inch Gianturco Coils-A Case Report-

Tayama, Eiki; Akagi, Teiji; Shojima, Takahiro; Tomoeda, Hiroshi; Takaseya, Tohru; Fukunaga, Shuji; Hayashida, Nobuhiko; Aoyagi, Shigeaki

doi:10.1253/circj.67.1059

Cited by 6 publications

(6 citation statements)

References 8 publications

(3 reference statements)

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“…3). Controlled release coils or delivery techniques may widen the spectrum of applicable patients [32]. Small diameter coils can be delivered through 3F microcatheters coaxially placed through a coronary guide catheter [27].…”

Section: Catheter Device Closure Of Coronary Artery Fistulasmentioning

confidence: 99%

Coronary artery fistulas: How to manage them

Latson¹

2007

Cathet Cardio Intervent

182

201

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Coronary artery fistulas are rare persisting vascular connections from a coronary artery to a cardiac chamber or major central blood vessel. The true incidence is difficult to discern because at least 75% may be asymptomatic and clinically undetectable until an echocardiogram or coronary arteriogram is performed. Small coronary artery fistulas that are not clinically detectable are not clearly associated with significant long term complications. Medium or large fistulas are associated with significant long term problems including angina, arrhythmias, myocardial infarction, endocarditis, and progressive dilation. Treatment options include surgical and catheter approaches to significant fistulas. The long term outlook after fistula closure is not well defined and deserves further study.

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Section: Catheter Device Closure Of Coronary Artery Fistulasmentioning

confidence: 99%

Coronary artery fistulas: How to manage them

Latson¹

2007

Cathet Cardio Intervent

182

201

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“…Similarly, selection of coils with a diameter the same size or smaller than the vessel, will result in embolization through the dilated distal fistula. Large diameter fistulae may permit for delivery of vascular plugs or large diameter coils [17,26]. Those cases with a significant area of stenosis and associated small lumen diameter are suitable for traditional coil delivery.…”

Section: Occlusion Device Selectionmentioning

confidence: 99%

Percutaneous coronary artery fistula closurein adults: Technical and procedural aspects

Collins

Mehta

Benson

et al. 2007

Cathet Cardio Intervent

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“…While potentially complex, percutaneous device closure has emerged as a therapeutic option with excellent results in those symptomatic patients with CAF 10–12 . A number of devices have been successfully employed, including coils, vascular plugs, duct occluders, and covered stents 15–17 . Furthermore, these occlusion devices may be delivered from an antegrade approach, as in this case, or retrograde through the venous system, which then eliminates the risk of coronary artery injury.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic ST Elevation during Percutaneous Closure of a Coronary Artery Fistula

Collins¹,

Benson²,

Horlick³

2011

Congenital Heart Disease

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Coronary artery fistulae are an uncommon anomaly and, while frequently asymptomatic, may require interventional therapy. Transcatheter approaches for closure of coronary artery fistulae are now commonly used, with various methods of fistula occlusion described, including detachable coils. During a percutaneous procedure to occlude a symptomatic left anterior descending coronary artery to pulmonary artery fistula, the patient experienced chest discomfort with anterior ST segment elevation. We demonstrate an unusual, unique and striking ECG abnormality complicating the delivery of coils designed to occlude the fistula in the absence of coronary artery injury. The mechanisms of the procedural ECG changes are discussed, as are potential alternate diagnoses and associated therapy.

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Transcatheter Coil Embolization of a High-Flow Coronary Artery Fistula Using 0.052-Inch Gianturco Coils-A Case Report-

Cited by 6 publications

References 8 publications

Coronary artery fistulas: How to manage them

Coronary artery fistulas: How to manage them

Percutaneous coronary artery fistula closurein adults: Technical and procedural aspects

Iatrogenic ST Elevation during Percutaneous Closure of a Coronary Artery Fistula

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