title: Percutaneous closure of coronary artery fistulae in adults with intermediate term follow-up results.
abstract: OBJECTIVE
  Percutaneous closure of coronary artery fistulae (CAF) has become an alternative method to surgery. But there are limited data about intermediate and long-term results. In this manuscript, we aimed to review our experience about the closure of CAF with several percutaneous methods in our center.
  
  
  METHODS
  Seven patients who admitted to our hospital, either symptomatic or having complications attributable to CAF, were analyzed. The immediate closure results and clinical follow-up were reviewed.
  
  
  RESULTS
  Five patients were male (71%) and mean age was 58.3 ± 13.3 years. Five of the CAF were draining into pulmonary artery and 2 of them were draining into the right atrium. Closure of CAF was performed with coil embolization in 5 patients, detachable balloon in 1 patient, and a combination of coil embolization and glue in the remaining 1 patient. In the early follow-up, 1 patient had atrial fibrillation and 1 patient had chest pain immediately after the closure procedure; other patients discharged from hospital uneventfully. Intermediate term follow-up results (32-83 months; median, 54 months) revealed that the procedure was clinically successful in all of the patients, despite the complaint of chest pain in 3 patients and minimal flow in 1 of these patients.
  
  
  CONCLUSIONS
  Percutaneous closure of CAF is feasible and safe in anatomically suitable vessels with good results at intermediate term follow-up.
authors.affiliation: Department of Cardiology, Hacettepe University, Ankara, Turkey.
authors.forename: Alı
authors.initials: A
authors.lastname: Oto
authors.forename: Kudret
authors.initials: K
authors.lastname: Aytemir
authors.forename: Barbaros
authors.initials: B
authors.lastname: Çil
authors.forename: Bora
authors.initials: B
authors.lastname: Peynircioğlu
authors.forename: Hikmet
authors.initials: H
authors.lastname: Yorgun
authors.forename: Uğur
authors.initials: U
authors.lastname: Canpolat
authors.forename: Ergün Bariş
authors.initials: EB
authors.lastname: Kaya
mesh_terms: D000368:Aged; D001159:Arterio-Arterial Fistula / Q000628:therapy*; D021721:Balloon Occlusion / Q000379:methods*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000628:therapy*; D004562:Electrocardiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome