title: Coronary artery fistula with a giant aneurysm treated by percutaneous transradial embolization.
abstract: Coronary artery fistulas are rare anomalies that are very rarely accompanied by an aneurysm. The minimally invasive method of percutaneous transradial embolization, using a thin guiding catheter, was used to treat a coronary artery fistula with an associated giant aneurysm. This technique, not previously described for this type of application, is presented as a case report. The successful outcome of this procedure demonstrated that transradial coronary interventions are useful for treating coronary artery fistulas with an associated giant aneurysm, especially in patients at high risk for conventional surgery or transfemoral interventions.
authors.affiliation: Department of Cardiology, Tokyo Metropolitan Hiroo Hospital, Tokyo, Japan. y-tanabe@muj.biglobe.ne.jp
authors.forename: Yauhiro
authors.initials: Y
authors.lastname: Tanabe
authors.forename: Tamotsu
authors.initials: T
authors.lastname: Tejima
authors.forename: Harumizu
authors.initials: H
authors.lastname: Sakurada
mesh_terms: D000368:Aged; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000628:therapy*; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000628:therapy*; D018618:Echocardiography, Doppler, Color; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D061330:Multidetector Computed Tomography; D017534:Radial Artery; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000175:diagnosis / Q000628:therapy*