Transcatheter embolization in the treatment of coronary artery fistulas.

摘要: Seven patients with a coronary artery fistula underwent percutaneous transcatheter embolization (five were male and two female; the age range was 2 to 67 years [median 17]). Three symptomatic. The left right shunt ranged from 1.6 2.6:1. In six patients, an isolated congenital anomaly; in one, it acquired. arose branches of (n = 5) 2) arteries drained ventricle 2), atrium sinus 1), pulmonary 1) bronchial 1). Different techniques used occlude eight feeding arteries. materials included detachable balloon 3), coaxial platinum microcoils combination microcoil standard steel coils Satisfactory occlusion achieved patients. one case, valve damaged, resulting early deflation residual fistula. There no associated complications any patient. Follow-up investigation by Doppler ultrasound or angiography 4 months later showed that permanent all whom initially successful. Transcatheter should be considered treatment choice for fistulas.