Transcatheter occlusion of coronary to bronchial anastomosis by detachable balloon combined with coronary angioplasty at same procedure.

Reidy, John F.; Sowton, Edgar; Ross, Donald N.

doi:10.1136/hrt.49.3.284

Cited by 106 publications

(72 citation statements)

References 5 publications

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“…6 Furthermore, surgery requires a median sternotomy and sometimes cardiopulmonary bypass. Transcatheter closure of CAF was first introduced in 1983 7 and has increasingly become the first line therapy in anatomically suitable cases. This technique has advantages over surgery that include: less cost, shorter recovery time and duration of hospitalization, and avoidance of thoracotomy and cardiopulmonary bypass.…”

Section: Introductionmentioning

confidence: 99%

Transcatheter Closure of Congenital Coronary Artery Fistulae: Immediate and Long‐Term Follow‐Up Results

Zhu¹,

Zhang²,

Han³

et al. 2009

Clinical Cardiology

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BackgroundTranscatheter closure of coronary artery fistulae (CAF) has emerged as an alternative to surgery, but there are no long‐term outcome results.ObjectiveWe report immediate and long‐term results in 24 patients after transcatheter closure of congen‐ ital CAF.MethodsA total of 24 patients aged 5 to 56 years old with congenital CAF underwent attempted percutaneous transcatheter closure using various devices between November 1998 and August 2008. The immediate closure results and clinical follow‐up were reviewed.ResultsOf the 24 patients, 20 (83.3%) underwent successful transcatheter closure using various devices. An angiogram right after device deployment revealed complete occlusion in 15 patients (75%) and trivial‐ to mild‐ residual flow in 5 patients (25%). Four patients (20%) had transient ST‐T wave changes after the procedure. The left ventricular end‐diastolic volume decreased from 165±31.4 mm3 to 128.6±24.4 mm3 (P = 0.012) 24 hours after procedure, and the cardiothoracic ratio from 0.57±0.02 to 0.53±0.01 (P = 0.003). Follow‐up was 100% complete and ranged from 3 months to 10 years. There were no early or late deaths. All patients were asymptomatic with complete closure of CAF except 1 patient (5%) who had a recurrence of shunt at 6‐month follow‐up, which was re‐closed by percutaneous technique.ConclusionTranscatheter closure of CAF is feasible and safe in anatomically suitable vessels and is a promising alternative to surgery in most patients. Copyright © 2009 Wiley Periodicals, Inc.

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Section: Introductionmentioning

confidence: 99%

Transcatheter Closure of Congenital Coronary Artery Fistulae: Immediate and Long‐Term Follow‐Up Results

Zhu¹,

Zhang²,

Han³

et al. 2009

Clinical Cardiology

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“…6 Although most patients with CAF are asymptomatic but according to our collected data, our patients had the following manifestations: palpitation, dyspnea and continuous murmur. Transthoracic echocardiography (TTE) and Doppler can diagnose coronary artery fi stulae and their drainage sites.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 The fi rst successful transcatheter closure of a coronary artery fistula was reported by Reidy et al in 1983 using a detachable balloon. 6 …”

Section: Introductionmentioning

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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“…Transcatheter closure was first reported by Reidy et al 21 , and has been emerging as an alternative in patients with favourable anatomy (non-tortuous vessel, single fistula and easily accessible). 22 Overall, the early outcomes have been similar to surgery with low morbidity and mortality.…”

Section: Discussion:-mentioning

confidence: 99%

Atypical Chest Pain: A Case Report.

Almalki¹,

alzahrani²,

Melibary³

et al. 2017

IJAR

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A 56-year-old female patient was referred to our institution for atypical chest pain and palpitations. Physical examination, resting ECG and transthoracic echocardiogram were unremarkable. Stress perfusion scintigraphy was positive for anterior and apical myocardial ischaemia. A subsequent coronary angiogram showed no signs of atherosclerotic coronary artery disease; however, it revealed a coronary arteriovenous fistula and multiple other fistulous connections between the proximal segment of the left coronary artery and the pulmonary artery trunk. We present a rare case of a symptomatic coronary fistula that was percutaneously closed using an Amplatzer Vascular Plug, which resulted in clinical improvement and late fistula occlusion. This case report underlines the importance of thinking beyond atherosclerosis in the evaluation of chest pain syndromes. Moreover, it describes some of the angiogram caveats in assessing the coronary fistula number and morphology, as well as the cardiac-catheter potential for multiple pathway coronary artery fistulae closer.Copy Right, IJAR, 2017,. All rights reserved. …………………………………………………………………………………………………….... Background:-Coronary arteriovenous fistula (CAVF) varies widely in its morphological appearance, clinical presentation and long-term outcome. Fistulae are congenital or acquired coronary artery abnormalities in which blood is shunted into a cardiac chamber or other vessels, bypassing the physiological myocardial capillary network. The CAVF location and dimensions determine their haemodynamic significance and clinical presentation, which can include dyspnoea, angina, congestive heart failure, pulmonary hypertension, arrhythmias or myocardial infarction. A majority of CAVF describe a simple trail, arising from the right coronary artery or the left anterior descending coronary artery, and lack clinical significance. However, larger fistulae may lead to coronary artery steal, with resultant ischaemia of the myocardium or other sequelae. Treatment is indicated for symptomatic patients and for those asymptomatic patients who are at risk for future fistula related complications. Although percutaneous CAVF closure is currently being used more frequently, a surgical approach is still considered the most suitable technique for larger, multiple fistulae or those associated with ventricular tachyarrhythmias or myocardial ischaemia.

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Transcatheter occlusion of coronary to bronchial anastomosis by detachable balloon combined with coronary angioplasty at same procedure.

Cited by 106 publications

References 5 publications

Transcatheter Closure of Congenital Coronary Artery Fistulae: Immediate and Long‐Term Follow‐Up Results

Transcatheter Closure of Congenital Coronary Artery Fistulae: Immediate and Long‐Term Follow‐Up Results

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

Atypical Chest Pain: A Case Report.

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