| Role of hybrid endovascular suite in improving outcomes of surgical ligation of coronary artery fistula. | |
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MedLine Citation:
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PMID: 22210590 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Kelly Steffen; George Trip Zorn Iii; Peter Tadros; Kamal Gupta |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of invasive cardiology Volume: 24 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-01-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: E10-2 Citation Subset: IM |
Affiliation:
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University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS 66160 USA. kgupta@mac.md. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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