Document Detail


Role of hybrid endovascular suite in improving outcomes of surgical ligation of coronary artery fistula.
MedLine Citation:
PMID:  22210590     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Coronary artery fistulae are rare congenital or acquired coronary artery anomalies that can lead to significant cardiovascular morbidity and mortality. Surgical ligation has long been utilized in the treatment of these abnormalities. However, there is a high rate of recurrence due to incomplete closure of the fistulae, especially when multiple channels are present. Transcatheter techniques have become an acceptable alternative with good outcomes. Nevertheless, not all fistulae are amenable to the transcatheter approach and surgical repair is the treatment of choice. Intraoperative coronary angiography can improve the outcomes of surgery but has only sparingly been used due to the technical difficulties in a standard operating suite. Hybrid suites are becoming quite common these days with the emergence of procedures such as endovascular stent grafting and percutaneous valves. These suites have a complete imaging set up like a traditional catheterization laboratory and are also full operating suites. This case report discusses the use and potential benefits of performing intraoperative coronary angiography in a dedicated hybrid suite to help guide and ensure complete surgical closure of all fistulous connections.
Authors:
Kelly Steffen; George Trip Zorn Iii; Peter Tadros; Kamal Gupta
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  24     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E10-2     Citation Subset:  IM    
Affiliation:
University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS 66160 USA. kgupta@mac.md.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Iatrogenic acute coronary dissection during coronary angioplasty for in-stent restenosis: role of in...
Next Document:  Irreversible Delayed Complete Heart Block Secondary to Jailed First Septal Perforator Following PCI ...