Dorros G, Thota V, Ramireddy K, Joseph G
William Dorros--Isadore Feuer Interventional, Cardiovascular Disease Foundation, Milwaukee, Wisconsin, USA.
Catheter Cardiovasc Interv. 1999 Feb;46(2):143-50. doi: 10.1002/(SICI)1522-726X(199902)46:2<143::AID-CCD6>3.0.CO;2-E.
This study details different methodologies of percutaneous closure of arteriosystemic and arteriovenous coronary fistula. Seven patients underwent transcatheter intervention of 10 fistulas, with 7 fistulas successfully closed: 6 with embolic coil devices and 1 with a covered stent obstructing the fistula ostium. The major complication encountered was one death as a result of device recoil into a major epicardial vessel. Percutaneous transcatheter closure of coronary fistulas appears to be simple, facile, and effective. However, device recoil into an undesired arterial segment, while irritating in a noncoronary arterial tree, may be catastrophic when occurring in an epicardial coronary artery.
本研究详细介绍了经皮闭合体循环动脉与冠状动脉瘘及动静脉冠状动脉瘘的不同方法。7例患者的10处瘘管接受了经导管介入治疗，其中7处瘘管成功闭合：6处使用栓塞线圈装置，1处使用覆膜支架阻塞瘘口。主要并发症为1例因装置弹回至心外膜大血管导致的死亡。经皮经导管闭合冠状动脉瘘似乎简单、易行且有效。然而，装置弹回至非预期动脉节段，在非冠状动脉系统中虽令人困扰，但发生在心外膜冠状动脉时可能是灾难性的。
