Percutaneous Embolization of Vascular Fistulas Using Coils or Amplatzer Vascular Plugs
| Autor: | Josep Girona, Jaume Casaldáliga, Gerard Martí, Ferran Gran, Pedro Betrián |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
medicine.medical_specialty Percutaneous medicine.medical_treatment Fistula Fontan procedure Young Adult Scimitar syndrome medicine Humans Anomalous pulmonary venous return Child Retrospective Studies Vascular Fistula business.industry Infant Newborn Infant Prostheses and Implants General Medicine medicine.disease Embolization Therapeutic Surgery Pulmonary Arteriovenous Fistula Glenn procedure Child Preschool Radiology business |
| Zdroj: | Revista Española de Cardiología (English Edition). 62:765-773 |
| ISSN: | 1885-5857 |
| DOI: | 10.1016/s1885-5857(09)72357-6 |
| Popis: | Introduction and objectives A great variety of different types of vascular fistula are referred to cardiac catheterization laboratories for diagnosis and percutaneous occlusion. In addition, a wide range of devices is available for treating them percutaneously. The objectives of this study were to assess the usefulness and difficulty of treating vascular fistulas percutaneously using controlled-release coils or Amplatzer vascular plugs and to report on the complications and overall outcomes observed with these 2 devices. Methods Retrospective review of percutaneous embolizations performed from January 2004 through June 2008. Results In total, 51 vascular fistulas in 30 patients aged from 6 days to 28 years (mean, 8.4 years) underwent successful embolization. The underlying diagnoses were: 27 venous collaterals in 16 patients after the Glenn procedure, 4 surgical (ie Blalock-Taussig) fistulas, 11 pulmonary arteriovenous fistulas in 3 patients, 2 aortopulmonary collateral arteries in 2 patients, 1 venous collateral in a patient who underwent the Fontan procedure, 1 aortopulmonary artery fistula in a patient with Scimitar syndrome, 1 coronary arteriovenous fistula, 3 systemic arteriovenous fistulas in a newborn, and 1 fistula from the left atrium to the superior vena cava after the repair of anomalous pulmonary venous return. The lesions were treated percutaneously using 34 vascular plugs and 19 coils. Conclusions Vascular fistulas can be occluded percutaneously with good results. Small fistulas can be closed using coils, while vascular plugs are preferable for large lesions. Both devices are highly effective as occluders and no particular difficulty or significant complication was observed. |
| Databáze: | OpenAIRE |
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