title: Catheter-based techniques for closure of coronary fistulae.
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.
authors.affiliation: William Dorros--Isadore Feuer Interventional, Cardiovascular Disease Foundation, Milwaukee, Wisconsin, USA. gdorros@asheart.com
authors.forename: G
authors.initials: G
authors.lastname: Dorros
authors.forename: V
authors.initials: V
authors.lastname: Thota
authors.forename: K
authors.initials: K
authors.lastname: Ramireddy
authors.forename: G
authors.initials: G
authors.lastname: Joseph
mesh_terms: D000368:Aged; D001159:Arterio-Arterial Fistula / Q000628:therapy*; D001164:Arteriovenous Fistula / Q000628:therapy*; D003330:Coronary Vessel Anomalies / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D006331:Heart Diseases / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities; D014683:Vena Cava, Superior / Q000002:abnormalities