Alekyan Bagrat G, Podzolkov Vladimir P, Cárdenas Carina E
Department of Interventional Cardiology and Angiology, Bakoulev Scientific Center for Cardiovascular Surgery, Russian Academy of Medical Sciences, Moscow, Russia.
Asian Cardiovasc Thorac Ann. 2002 Mar;10(1):47-52. doi: 10.1177/021849230201000112.
Between December 1982 and August 2001, coil embolization of coronary artery-to-cardiac chamber fistula was attempted in 15 patients aged 11 months to 44 years (mean, 7.2 +/- 2.5 years). The fistulae connected the left anterior descending artery to the right ventricle in 4 patients, the right coronary artery to the right ventricle in 3, the right coronary artery to the right atrium in 3, the circumflex artery to the right ventricle in 2, the circumflex artery to the right atrium in 2, and the right coronary artery to the trunk of the pulmonary artery in 1. Complete fistula occlusion was achieved in 14 patients (93%); one had a residual shunt and underwent repeat embolization one year later, resulting in complete occlusion. There was one early death (7%) in a 4-year-old girl who developed femoral artery thrombosis and acute renal failure. Complications comprised migration of the coil into the pulmonary artery (2), femoral artery thrombosis (2), and perforation of the vessel wall by the guidewire (1) with immediate thrombosis and occlusion of the fistula (no coil was deployed). The 13 survivors with coils were followed up for 0.5 to 13 years; complete occlusion of the fistula was confirmed in all cases.
1982年12月至2001年8月期间，对15例年龄在11个月至44岁（平均7.2±2.5岁）的冠状动脉至心腔瘘患者尝试进行弹簧圈栓塞治疗。其中4例患者的瘘管连接左前降支动脉与右心室，3例连接右冠状动脉与右心室，3例连接右冠状动脉与右心房，2例连接回旋支动脉与右心室，2例连接回旋支动脉与右心房，1例连接右冠状动脉与肺动脉主干。14例患者（93%）实现了瘘管完全闭塞；1例有残余分流，1年后接受了再次栓塞，最终实现完全闭塞。1名4岁女孩出现股动脉血栓形成和急性肾衰竭，早期死亡（7%）。并发症包括弹簧圈移入肺动脉（2例）、股动脉血栓形成（2例）以及导丝导致血管壁穿孔（1例），随即血栓形成并闭塞瘘管（未植入弹簧圈）。对13例植入弹簧圈的存活患者进行了0.5至13年的随访；所有病例均证实瘘管完全闭塞。
