Department of Cardiology, Tokyo Metropolitan Hiroo Hospital, Tokyo, Japan.
Catheter Cardiovasc Interv. 2013 Mar;81(4):732-7. doi: 10.1002/ccd.24656. Epub 2012 Nov 8.
Coronary artery fistulas are rare anomalies that are very rarely accompanied by an aneurysm. The minimally invasive method of percutaneous transradial embolization, using a thin guiding catheter, was used to treat a coronary artery fistula with an associated giant aneurysm. This technique, not previously described for this type of application, is presented as a case report. The successful outcome of this procedure demonstrated that transradial coronary interventions are useful for treating coronary artery fistulas with an associated giant aneurysm, especially in patients at high risk for conventional surgery or transfemoral interventions.
冠状动脉瘘是一种罕见的异常，很少伴有动脉瘤。使用细引导导管的经皮经桡动脉微创栓塞方法被用于治疗伴有巨大动脉瘤的冠状动脉瘘。这种技术以前没有用于这种类型的应用，在此作为一个病例报告介绍。该手术的成功结果表明，经桡动脉冠状动脉介入治疗对于治疗伴有巨大动脉瘤的冠状动脉瘘是有用的，特别是对于那些传统手术或经股动脉介入治疗风险较高的患者。
