Diverse Transcatheter Closure Strategies in Coronary Artery Fistulas A State-of-the-Art Approach
| Autor: | Bahram Mohebbi, Mohammad Javad Alemzadeh-Ansari, Ayatollah Bayatian, Ata Firouzi, Ehsan Khalilipur, Maisam Taherian, Zahra Hosseini, Zahra Khajali, Amir Khosropour, Mohammadreza Baay |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Vascular Fistula
medicine.medical_specialty Natural course Modalities Percutaneous business.industry Coronary Vessel Anomalies Fistula Coronary Artery Disease General Medicine Coronary Angiography medicine.disease Asymptomatic Surgery Treatment Outcome medicine.anatomical_structure medicine Humans In patient medicine.symptom Closure (psychology) Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Current Problems in Cardiology. 47:101010 |
| ISSN: | 0146-2806 |
| DOI: | 10.1016/j.cpcardiol.2021.101010 |
| Popis: | Coronary artery fistulas (CAFs) are accounted as the most congenital coronary anomalies. As their natural course is progressive dilatation of the feeder arteries and the fistula tract, so, catastrophic complications are frequently illustrated by aging. Even in those with asymptomatic small fistulas, close follow-up is mandatory to prevent subsequent sequelas. In patients with medium or large-sized fistulas, irrespective of symptoms, closure (either by surgical ligation or transcatheter closure) is recommended. In the current era of advances in the equipment and devices and also innovations in percutaneous closure techniques and preprocedural imaging, TCC is now regarded as the preferred strategy for CAF closure except in some high-risk cases. So, by appropriate case selection modalities, pre-procedural planning, and determining the closure techniques, recent small case-series studies have been reported good final angiographic and clinical results by TCC. In this article, we have introduced several transcatheter closure techniques by details; also, we have recommended more multi-center trials with long-term clinical follow-up to address the best treatment options in these patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect