Closure of an iatrogenic aortocoronary arteriovenous fistula: Transcatheter balloon embolization following failed coil embolization and salvage of coils that migrated into the coronary venous system
| Autor: | Karl Heinrich Scholz, Klaus Rühmkorf, Lars S. Maier, Björn Ehlers, Arnd B. Buchwald |
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| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
Percutaneous Vascular disease business.industry Fistula medicine.medical_treatment Arteriovenous fistula General Medicine 030204 cardiovascular system & hematology medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Occlusion medicine Radiology Nuclear Medicine and imaging 030212 general & internal medicine Radiology Embolization Cardiology and Cardiovascular Medicine business Coronary sinus Coil embolization |
| Zdroj: | Catheterization and Cardiovascular Interventions. 55:109-112 |
| ISSN: | 1522-1946 |
| Popis: | We report a 50-year-old patient with successful percutaneous closure of a large inadvertent surgical aortocoronary arteriovenous fistula (shunt flow: 1.8 L/min). With initial embolization of multiple coils, no lasting occlusion of the large fistula could be achieved. Above that, two coils migrated into the coronary venous system. Following rescue of the migrated coils through a retrograde coronary sinus approach, the fistula was occluded using a detachable balloon. Follow-up angiograms confirmed successful closure of the fistula. In contrast to coil embolization, use of a detachable balloon seems to be the appropriate technique for percutaneous closure of such fistulas. |
| Databáze: | OpenAIRE |
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