eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
4/2015
vol. 11
 
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abstract:
Original paper

Percutaneous closure of coronary artery fistula: long-term follow-up results

Erdogan Ilkay
,
Ozlem Ozcan Celebi
,
Fehmi Kacmaz
,
Ozcan Ozeke

Postep Kardiol Inter 2015; 11, 4 (42): 318–322
Online publish date: 2015/12/01
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Introduction: Coronary artery fistula consists of abnormal congenital connections between a coronary artery and cardiac chambers, a coronary vessel or an intrathoracic vessel that can be complicated by intracardiac shunts, endocarditis, myocardial infarction, or coronary aneurysms. Recent reports have emphasized the efficacy of percutaneous transcatheter techniques as an alternative to surgical closure, but the reported experience is relatively limited.

Aim: To assess angiographic outcomes in a series of 20 patients who underwent transcatheter closure of coronary artery fistula.

Material and methods: We evaluated all patients presenting with significant coronary artery fistula and undergoing transcatheter closure with coils and a vascular plug between March 2008 and June 2012.

Results: There were 20 patients (14 men; mean age: 53 ±8 years) with coronary artery fistula. Fistula diameter ranged from 4 to 12 mm; an average of three coils were used in the percutaneous procedure. Post-deployment angiograms demonstrated complete occlusion in all patients. The patients were followed up for 4 ±1.6 years. The control coronary computed tomographic angiography was performed in the sixth month and no patients had recanalization of the embolized vessel.

Conclusions: Percutaneous closure of coronary artery fistula is a safe and effective treatment modality.
keywords:

coronary artery fistula, percutaneous closure, coronary computed tomographic angiography

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