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Case Reports
. 1999 Feb;46(2):143-50.
doi: 10.1002/(SICI)1522-726X(199902)46:2<143::AID-CCD6>3.0.CO;2-E.

Catheter-based techniques for closure of coronary fistulae

G Dorros  1 , V Thota, K Ramireddy, G Joseph
Affiliations
Case Reports

Catheter-based techniques for closure of coronary fistulae

G Dorros et al. Catheter Cardiovasc Interv. 1999 Feb.

Abstract

This study details different methodologies of percutaneous closure of arteriosystemic and arteriovenous coronary fistula. Seven patients underwent transcatheter intervention of 10 fistulas, with 7 fistulas successfully closed: 6 with embolic coil devices and 1 with a covered stent obstructing the fistula ostium. The major complication encountered was one death as a result of device recoil into a major epicardial vessel. Percutaneous transcatheter closure of coronary fistulas appears to be simple, facile, and effective. However, device recoil into an undesired arterial segment, while irritating in a noncoronary arterial tree, may be catastrophic when occurring in an epicardial coronary artery.

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