Coil embolization of coronary artery fistulas. A single-centre experience

Cardiovascular Revascularization Medicine : Including Molecular Interventions
Zuheir KabbaniAntonio Castro

Abstract

Congenital coronary artery fistula (CAF) is an uncommon anomaly. It can become symptomatic, associated with significant morbidity and mortality. We report our experience in percutaneous treatment of CAF. Four patients with five CAFs were treated. All were symptomatic at admission. Four fistulas rose from the left anterior descending coronary artery. The fifth originated from the right coronary sinus. All drained into the pulmonary artery. Percutaneous treatment was performed using microcoils in two cases and Hydrocoils in the last two patients (three fistulas). A complete occlusion was achieved in all. There was no complication related with the procedure, and all were asymptomatic at the follow-up. Transcatheter closure of CAFs with microcoils/Hydrocoils is feasible and safe in the anatomically suitable vessels, with low rates of complications. Percutaneous treatment with microcoils/Hydrocoils is a valid option in symptomatic patients.

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Citations

Jan 1, 2010·BMJ Case Reports·S MahidaJ Blaxill
Jun 19, 2015·Journal of Interventional Cardiology·Yunbin XiaoShelby Kutty
May 13, 2015·Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology·Marios LoukasDiane Spicer
Nov 11, 2016·The American Journal of Nursing·Yvonne GallegosDana N Rutledge
May 29, 2014·Asian Cardiovascular & Thoracic Annals·Mohammed Almansori, Muhammed Tamim
Jun 5, 2014·BioMed Research International·Michele AndreucciAdis Tasanarong

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