Document Detail

Transcatheter closure of large congenital coronary-cameral fistulae with Amplatzer devices.
MedLine Citation:
PMID:  20146207     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To report on the methods and results of treatment of large congenital coronary-cameral fistulae by transcatheter closure with Amplatzer devices. BACKGROUND: Large coronary-cameral fistulae cause a steal phenomenon from the normal coronary circulation. Surgical closure is an option. However, transcatheter methods allow for temporary occlusion, definition of anatomy, and online assessment of successful closure. Amplatzer devices are compact occluders that can be fully delivered, collapsed, and repositioned until a satisfactory position is attained. METHODS: Coronary and fistula anatomy were defined by selective coronary angiography with or without temporary occlusion. Device closure of the fistula was performed at the most distal point accessible, often from the cameral side using an arteriovenous loop method. RESULTS: Ten patients of median age 2.6 years (0.5-52.2) and weight 14.4 kg (6.1-67) underwent an attempt at transcatheter closure of a large fistula. In nine patients, the fistula was closed successfully with a device. There were no complications. CONCLUSIONS: Transcatheter closure of coronary-cameral fistula with Amplatzer devices is safe and effective.
Elchanan Bruckheimer; Matthew Harris; Ran Kornowski; Tamir Dagan; Einat Birk
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  75     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-30     Completed Date:  2010-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  850-4     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Wiley-Liss, Inc.
Section of Pediatric Cardiology, Schneider Children's Medical Center Israel, Petach Tikva, Israel.
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MeSH Terms
Child, Preschool
Coronary Angiography / methods
Coronary Vessel Anomalies / radiography,  surgery*
Echocardiography, Doppler, Color
Embolization, Therapeutic / instrumentation,  methods*
Heart Catheterization
Middle Aged
Prosthesis Design
Radiography, Interventional
Septal Occluder Device
Vascular Fistula / radiography,  surgery*
Comment In:
Catheter Cardiovasc Interv. 2010 May 1;75(6):855-6   [PMID:  20432389 ]

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

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