Coronary Artery Fistulas: Indications,Techniques, Outcomes,and Complications of Transcatheter Fistula Closure |
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Authors: | Mohammed Al-Hijji Abdallah El Sabbagh Stephanie El Hajj Mohamad AlKhouli Bassim El Sabawi Allison Cabalka William R. Miranda David R. Holmes Charanjit S. Rihal |
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Affiliation: | 1. Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA;2. Heart Hospital, Hamad Medical Corporation, Doha, Qatar;3. Department of Cardiovascular Medicine, Mayo Clinic, Jacksonville, Florida, USA |
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Abstract: | Coronary artery fistulas (CAFs) are rare coronary anomalies that are usually diagnosed incidentally with cardiac imaging. Small CAFs are generally asymptomatic and can close over time, while some untreated medium or large CAFs can enlarge, leading to clinical sequelae such as cardiac chamber enlargement or myocardial ischemia. With the advancement of transcatheter equipment and techniques, CAFs have been increasingly closed using a percutaneous approach. However, the procedure is not free of limitations given the risk for myocardial infarction, device embolization, and fistula recanalization. In this review, the authors illustrate the contemporary procedural considerations, techniques, and outcomes of transcatheter CAF closure. |
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Keywords: | chest coronary artery fistula percutaneous closure AV" },{" #name" :" keyword" ," $" :{" id" :" kwrd0030" }," $$" :[{" #name" :" text" ," _" :" arteriovenous AVP" },{" #name" :" keyword" ," $" :{" id" :" kwrd0040" }," $$" :[{" #name" :" text" ," _" :" Amplatzer Vascular Plug CAF" },{" #name" :" keyword" ," $" :{" id" :" kwrd0050" }," $$" :[{" #name" :" text" ," _" :" coronary artery fistula CT" },{" #name" :" keyword" ," $" :{" id" :" kwrd0060" }," $$" :[{" #name" :" text" ," _" :" computed tomographic MI" },{" #name" :" keyword" ," $" :{" id" :" kwrd0070" }," $$" :[{" #name" :" text" ," _" :" myocardial infarction RCA" },{" #name" :" keyword" ," $" :{" id" :" kwrd0080" }," $$" :[{" #name" :" text" ," _" :" right coronary artery |
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