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Transcatheter occlusion of a large coronary arterial fistula with new detachable platinum microcoils

Published online by Cambridge University Press:  15 August 2006

Gernot Buheitel ,
Josef Ludwig  and
Michael Hofbeck
Gernot Buheitel
Affiliation:
Department of Pediatric Cardiology, University Erlangen, Nuremberg
Josef Ludwig
Affiliation:
Department of Adult Cardiology, University Erlangen, Nuremberg
Michael Hofbeck
Affiliation:
Department of Pediatric Cardiology, University Tuebingen, Germany
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Abstract

We report a 17 year old boy with a large fistula from the right coronary artery to the right ventricle. The fistula consisted of two major branches. The smaller branch could be embolised with three detachable platinum microcoils without problems. The high flow of blood in the larger branch, however, prevented conventional occlusion using coils. Interventional occlusion of this branch was achieved in a second attempt. Following creation of an arterio-venous wire-loop, we advanced a balloon catheter into the distal end of the fistula. Under temporary occlusion of the fistula, complete closure was achieved by delivery of 7 detachable platinum microcoils. Thus, even large coronary arterial fistulas can be closed safely with these new platinum detachable microcoils. The procedure, however, requires temporary control of the flow of blood by balloon occlusion.

Keywords

Coronary arterial fistulatranscatheter occlusiondetachable platinum microcoilsballoon blockage
Type
Brief Report
Information
Cardiology in the Young , Volume 11 , Issue 5 , September 2001 , pp. 571 - 573
Copyright
2001 Cambridge University Press

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