Transcatheter closure of coronary artery fistulas in infants and children: A French multicenter study
Objectives The short‐term efficacy and safety of transcatheter closure (TCC) for the management of coronary artery fistulas (CAFs) was investigated in pediatric patients. Background CAFS are rare with potentially severe complications and their management is still a matter of debate. Percutaneous clo...
Gespeichert in:
| Veröffentlicht in: | Catheterization and cardiovascular interventions 2016-02, Vol.87 (3), p.411-418 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 418 |
|---|---|
| container_issue | 3 |
| container_start_page | 411 |
| container_title | Catheterization and cardiovascular interventions |
| container_volume | 87 |
| creator | Mottin, Benoît Baruteau, Alban Boudjemline, Younes Piéchaud, François J. Godart, François Lusson, Jean‐René Hascoet, Sebastien Le Gloan, Laurianne Fresse, Karine Warin Guyomarch, Beatrice Bouzguenda, Ivan Malekzadeh‐Milani, Sophie Petit, Jerome Guérin, Patrice |
| description | Objectives
The short‐term efficacy and safety of transcatheter closure (TCC) for the management of coronary artery fistulas (CAFs) was investigated in pediatric patients.
Background
CAFS are rare with potentially severe complications and their management is still a matter of debate. Percutaneous closure appears to be the treatment of choice in anatomically suitable vessels but limited data are available in the pediatric population.
Methods
This retrospective, observational, multicenter, national study included patients under 16 years of age who underwent TCC of a congenital CAF. Patients with additional congenital heart defect were excluded.
Results
61 patients (36 girls, 25 boys) with a median age of 0.6 year [0–15.4] at diagnosis and 3.9 years [0–16] at procedure were included. The CAF was large in 48 patients (79%); it was distal in 23 (38%) and proximal in 22 (36%). Most patients (77%) were asymptomatic at diagnosis. Clinical signs of congestive heart failure were present in seven patients (11%). Perioperative complications included three cases of ST elevation myocardial infarction (exclusively during attempted closure of a distal CAF), three devices migrations, and one case of leg ischemia. One patient died after surgical closure of a large distal CAF that could not be closed by TCC. Follow‐up data were collected for 43 patients (70%) for a median of 91 days [0–4,824]. The Kaplan‐Meyer estimate for complete occlusion at 2 years was 73 ± 7.6%.
Conclusion
TCC in the pediatric population appears to be effective and associated with few complications. © 2015 Wiley Periodicals, Inc. |
| doi_str_mv | 10.1002/ccd.26320 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1768565018</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3963992011</sourcerecordid><originalsourceid>FETCH-LOGICAL-p2790-b06e61cfdaba5a9b15e6eb9422557bdae5a00bc4f2a99fd44fb8dc881033b3683</originalsourceid><addsrcrecordid>eNpdkU1LAzEQhoMotlYP_gEJePGybZLdZDfeympVKHip4G3J19ItabYmu8j-e9MPPQgD88L7zDDMC8AtRlOMEJkppaeEpQSdgTGmhCQ5YZ_nJ415xkbgKoQNQogzwi_BiDBKcobQGJiVFy4o0a1NZzxUtg29N7CtoWp964QfoPDRGWDdhK63IsDGxaqF6wIUTkO1bqz2xj3COVzErtZw29uuUcbtN8YhPVyDi1rYYG5OfQI-Fs-r8jVZvr-8lfNlsiM5R4lEzDCsai2koIJLTA0zkmeEUJpLLQwVCEmV1URwXussq2WhVVFglKYyZUU6AQ_HvTvffvUmdNW2CcpYK5xp-1DhnBWUUYT36P0_dNP23sXrDhTGhKY8Uncnqpdbo6udb7bxJ9XvAyMwOwLfjTXDn49RtU-mislUh2Sqsnw6iPQH_GaA9Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1768112539</pqid></control><display><type>article</type><title>Transcatheter closure of coronary artery fistulas in infants and children: A French multicenter study</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Mottin, Benoît ; Baruteau, Alban ; Boudjemline, Younes ; Piéchaud, François J. ; Godart, François ; Lusson, Jean‐René ; Hascoet, Sebastien ; Le Gloan, Laurianne ; Fresse, Karine Warin ; Guyomarch, Beatrice ; Bouzguenda, Ivan ; Malekzadeh‐Milani, Sophie ; Petit, Jerome ; Guérin, Patrice</creator><creatorcontrib>Mottin, Benoît ; Baruteau, Alban ; Boudjemline, Younes ; Piéchaud, François J. ; Godart, François ; Lusson, Jean‐René ; Hascoet, Sebastien ; Le Gloan, Laurianne ; Fresse, Karine Warin ; Guyomarch, Beatrice ; Bouzguenda, Ivan ; Malekzadeh‐Milani, Sophie ; Petit, Jerome ; Guérin, Patrice</creatorcontrib><description>Objectives
The short‐term efficacy and safety of transcatheter closure (TCC) for the management of coronary artery fistulas (CAFs) was investigated in pediatric patients.
Background
CAFS are rare with potentially severe complications and their management is still a matter of debate. Percutaneous closure appears to be the treatment of choice in anatomically suitable vessels but limited data are available in the pediatric population.
Methods
This retrospective, observational, multicenter, national study included patients under 16 years of age who underwent TCC of a congenital CAF. Patients with additional congenital heart defect were excluded.
Results
61 patients (36 girls, 25 boys) with a median age of 0.6 year [0–15.4] at diagnosis and 3.9 years [0–16] at procedure were included. The CAF was large in 48 patients (79%); it was distal in 23 (38%) and proximal in 22 (36%). Most patients (77%) were asymptomatic at diagnosis. Clinical signs of congestive heart failure were present in seven patients (11%). Perioperative complications included three cases of ST elevation myocardial infarction (exclusively during attempted closure of a distal CAF), three devices migrations, and one case of leg ischemia. One patient died after surgical closure of a large distal CAF that could not be closed by TCC. Follow‐up data were collected for 43 patients (70%) for a median of 91 days [0–4,824]. The Kaplan‐Meyer estimate for complete occlusion at 2 years was 73 ± 7.6%.
Conclusion
TCC in the pediatric population appears to be effective and associated with few complications. © 2015 Wiley Periodicals, Inc.</description><identifier>ISSN: 1522-1946</identifier><identifier>EISSN: 1522-726X</identifier><identifier>DOI: 10.1002/ccd.26320</identifier><identifier>PMID: 26527600</identifier><identifier>CODEN: CARIF2</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Cardiac Catheterization - adverse effects ; Cardiac Catheterization - instrumentation ; Cardiac Catheterization - mortality ; Child ; Child, Preschool ; coronary artery fistulas ; Coronary Vessel Anomalies - diagnostic imaging ; Coronary Vessel Anomalies - mortality ; Coronary Vessel Anomalies - therapy ; Female ; Foreign-Body Migration - etiology ; France ; Humans ; Infant ; Infant, Newborn ; interventional cardiology ; Ischemia - etiology ; Kaplan-Meier Estimate ; Lower Extremity - blood supply ; Male ; Myocardial Infarction - etiology ; pediatric ; percutaneous closure ; Retrospective Studies ; Time Factors ; Treatment Outcome ; Vascular Fistula - diagnostic imaging ; Vascular Fistula - mortality ; Vascular Fistula - therapy</subject><ispartof>Catheterization and cardiovascular interventions, 2016-02, Vol.87 (3), p.411-418</ispartof><rights>2015 Wiley Periodicals, Inc.</rights><rights>2016 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fccd.26320$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fccd.26320$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26527600$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mottin, Benoît</creatorcontrib><creatorcontrib>Baruteau, Alban</creatorcontrib><creatorcontrib>Boudjemline, Younes</creatorcontrib><creatorcontrib>Piéchaud, François J.</creatorcontrib><creatorcontrib>Godart, François</creatorcontrib><creatorcontrib>Lusson, Jean‐René</creatorcontrib><creatorcontrib>Hascoet, Sebastien</creatorcontrib><creatorcontrib>Le Gloan, Laurianne</creatorcontrib><creatorcontrib>Fresse, Karine Warin</creatorcontrib><creatorcontrib>Guyomarch, Beatrice</creatorcontrib><creatorcontrib>Bouzguenda, Ivan</creatorcontrib><creatorcontrib>Malekzadeh‐Milani, Sophie</creatorcontrib><creatorcontrib>Petit, Jerome</creatorcontrib><creatorcontrib>Guérin, Patrice</creatorcontrib><title>Transcatheter closure of coronary artery fistulas in infants and children: A French multicenter study</title><title>Catheterization and cardiovascular interventions</title><addtitle>Catheter Cardiovasc Interv</addtitle><description>Objectives
The short‐term efficacy and safety of transcatheter closure (TCC) for the management of coronary artery fistulas (CAFs) was investigated in pediatric patients.
Background
CAFS are rare with potentially severe complications and their management is still a matter of debate. Percutaneous closure appears to be the treatment of choice in anatomically suitable vessels but limited data are available in the pediatric population.
Methods
This retrospective, observational, multicenter, national study included patients under 16 years of age who underwent TCC of a congenital CAF. Patients with additional congenital heart defect were excluded.
Results
61 patients (36 girls, 25 boys) with a median age of 0.6 year [0–15.4] at diagnosis and 3.9 years [0–16] at procedure were included. The CAF was large in 48 patients (79%); it was distal in 23 (38%) and proximal in 22 (36%). Most patients (77%) were asymptomatic at diagnosis. Clinical signs of congestive heart failure were present in seven patients (11%). Perioperative complications included three cases of ST elevation myocardial infarction (exclusively during attempted closure of a distal CAF), three devices migrations, and one case of leg ischemia. One patient died after surgical closure of a large distal CAF that could not be closed by TCC. Follow‐up data were collected for 43 patients (70%) for a median of 91 days [0–4,824]. The Kaplan‐Meyer estimate for complete occlusion at 2 years was 73 ± 7.6%.
Conclusion
TCC in the pediatric population appears to be effective and associated with few complications. © 2015 Wiley Periodicals, Inc.</description><subject>Adolescent</subject><subject>Cardiac Catheterization - adverse effects</subject><subject>Cardiac Catheterization - instrumentation</subject><subject>Cardiac Catheterization - mortality</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>coronary artery fistulas</subject><subject>Coronary Vessel Anomalies - diagnostic imaging</subject><subject>Coronary Vessel Anomalies - mortality</subject><subject>Coronary Vessel Anomalies - therapy</subject><subject>Female</subject><subject>Foreign-Body Migration - etiology</subject><subject>France</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>interventional cardiology</subject><subject>Ischemia - etiology</subject><subject>Kaplan-Meier Estimate</subject><subject>Lower Extremity - blood supply</subject><subject>Male</subject><subject>Myocardial Infarction - etiology</subject><subject>pediatric</subject><subject>percutaneous closure</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vascular Fistula - diagnostic imaging</subject><subject>Vascular Fistula - mortality</subject><subject>Vascular Fistula - therapy</subject><issn>1522-1946</issn><issn>1522-726X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1LAzEQhoMotlYP_gEJePGybZLdZDfeympVKHip4G3J19ItabYmu8j-e9MPPQgD88L7zDDMC8AtRlOMEJkppaeEpQSdgTGmhCQ5YZ_nJ415xkbgKoQNQogzwi_BiDBKcobQGJiVFy4o0a1NZzxUtg29N7CtoWp964QfoPDRGWDdhK63IsDGxaqF6wIUTkO1bqz2xj3COVzErtZw29uuUcbtN8YhPVyDi1rYYG5OfQI-Fs-r8jVZvr-8lfNlsiM5R4lEzDCsai2koIJLTA0zkmeEUJpLLQwVCEmV1URwXussq2WhVVFglKYyZUU6AQ_HvTvffvUmdNW2CcpYK5xp-1DhnBWUUYT36P0_dNP23sXrDhTGhKY8Uncnqpdbo6udb7bxJ9XvAyMwOwLfjTXDn49RtU-mislUh2Sqsnw6iPQH_GaA9Q</recordid><startdate>20160215</startdate><enddate>20160215</enddate><creator>Mottin, Benoît</creator><creator>Baruteau, Alban</creator><creator>Boudjemline, Younes</creator><creator>Piéchaud, François J.</creator><creator>Godart, François</creator><creator>Lusson, Jean‐René</creator><creator>Hascoet, Sebastien</creator><creator>Le Gloan, Laurianne</creator><creator>Fresse, Karine Warin</creator><creator>Guyomarch, Beatrice</creator><creator>Bouzguenda, Ivan</creator><creator>Malekzadeh‐Milani, Sophie</creator><creator>Petit, Jerome</creator><creator>Guérin, Patrice</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20160215</creationdate><title>Transcatheter closure of coronary artery fistulas in infants and children: A French multicenter study</title><author>Mottin, Benoît ; Baruteau, Alban ; Boudjemline, Younes ; Piéchaud, François J. ; Godart, François ; Lusson, Jean‐René ; Hascoet, Sebastien ; Le Gloan, Laurianne ; Fresse, Karine Warin ; Guyomarch, Beatrice ; Bouzguenda, Ivan ; Malekzadeh‐Milani, Sophie ; Petit, Jerome ; Guérin, Patrice</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2790-b06e61cfdaba5a9b15e6eb9422557bdae5a00bc4f2a99fd44fb8dc881033b3683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Cardiac Catheterization - adverse effects</topic><topic>Cardiac Catheterization - instrumentation</topic><topic>Cardiac Catheterization - mortality</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>coronary artery fistulas</topic><topic>Coronary Vessel Anomalies - diagnostic imaging</topic><topic>Coronary Vessel Anomalies - mortality</topic><topic>Coronary Vessel Anomalies - therapy</topic><topic>Female</topic><topic>Foreign-Body Migration - etiology</topic><topic>France</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>interventional cardiology</topic><topic>Ischemia - etiology</topic><topic>Kaplan-Meier Estimate</topic><topic>Lower Extremity - blood supply</topic><topic>Male</topic><topic>Myocardial Infarction - etiology</topic><topic>pediatric</topic><topic>percutaneous closure</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vascular Fistula - diagnostic imaging</topic><topic>Vascular Fistula - mortality</topic><topic>Vascular Fistula - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mottin, Benoît</creatorcontrib><creatorcontrib>Baruteau, Alban</creatorcontrib><creatorcontrib>Boudjemline, Younes</creatorcontrib><creatorcontrib>Piéchaud, François J.</creatorcontrib><creatorcontrib>Godart, François</creatorcontrib><creatorcontrib>Lusson, Jean‐René</creatorcontrib><creatorcontrib>Hascoet, Sebastien</creatorcontrib><creatorcontrib>Le Gloan, Laurianne</creatorcontrib><creatorcontrib>Fresse, Karine Warin</creatorcontrib><creatorcontrib>Guyomarch, Beatrice</creatorcontrib><creatorcontrib>Bouzguenda, Ivan</creatorcontrib><creatorcontrib>Malekzadeh‐Milani, Sophie</creatorcontrib><creatorcontrib>Petit, Jerome</creatorcontrib><creatorcontrib>Guérin, Patrice</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Catheterization and cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mottin, Benoît</au><au>Baruteau, Alban</au><au>Boudjemline, Younes</au><au>Piéchaud, François J.</au><au>Godart, François</au><au>Lusson, Jean‐René</au><au>Hascoet, Sebastien</au><au>Le Gloan, Laurianne</au><au>Fresse, Karine Warin</au><au>Guyomarch, Beatrice</au><au>Bouzguenda, Ivan</au><au>Malekzadeh‐Milani, Sophie</au><au>Petit, Jerome</au><au>Guérin, Patrice</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transcatheter closure of coronary artery fistulas in infants and children: A French multicenter study</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Catheter Cardiovasc Interv</addtitle><date>2016-02-15</date><risdate>2016</risdate><volume>87</volume><issue>3</issue><spage>411</spage><epage>418</epage><pages>411-418</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><coden>CARIF2</coden><abstract>Objectives
The short‐term efficacy and safety of transcatheter closure (TCC) for the management of coronary artery fistulas (CAFs) was investigated in pediatric patients.
Background
CAFS are rare with potentially severe complications and their management is still a matter of debate. Percutaneous closure appears to be the treatment of choice in anatomically suitable vessels but limited data are available in the pediatric population.
Methods
This retrospective, observational, multicenter, national study included patients under 16 years of age who underwent TCC of a congenital CAF. Patients with additional congenital heart defect were excluded.
Results
61 patients (36 girls, 25 boys) with a median age of 0.6 year [0–15.4] at diagnosis and 3.9 years [0–16] at procedure were included. The CAF was large in 48 patients (79%); it was distal in 23 (38%) and proximal in 22 (36%). Most patients (77%) were asymptomatic at diagnosis. Clinical signs of congestive heart failure were present in seven patients (11%). Perioperative complications included three cases of ST elevation myocardial infarction (exclusively during attempted closure of a distal CAF), three devices migrations, and one case of leg ischemia. One patient died after surgical closure of a large distal CAF that could not be closed by TCC. Follow‐up data were collected for 43 patients (70%) for a median of 91 days [0–4,824]. The Kaplan‐Meyer estimate for complete occlusion at 2 years was 73 ± 7.6%.
Conclusion
TCC in the pediatric population appears to be effective and associated with few complications. © 2015 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>26527600</pmid><doi>10.1002/ccd.26320</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1522-1946 |
| ispartof | Catheterization and cardiovascular interventions, 2016-02, Vol.87 (3), p.411-418 |
| issn | 1522-1946 1522-726X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1768565018 |
| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adolescent Cardiac Catheterization - adverse effects Cardiac Catheterization - instrumentation Cardiac Catheterization - mortality Child Child, Preschool coronary artery fistulas Coronary Vessel Anomalies - diagnostic imaging Coronary Vessel Anomalies - mortality Coronary Vessel Anomalies - therapy Female Foreign-Body Migration - etiology France Humans Infant Infant, Newborn interventional cardiology Ischemia - etiology Kaplan-Meier Estimate Lower Extremity - blood supply Male Myocardial Infarction - etiology pediatric percutaneous closure Retrospective Studies Time Factors Treatment Outcome Vascular Fistula - diagnostic imaging Vascular Fistula - mortality Vascular Fistula - therapy |
| title | Transcatheter closure of coronary artery fistulas in infants and children: A French multicenter study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T00%3A25%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Transcatheter%20closure%20of%20coronary%20artery%20fistulas%20in%20infants%20and%20children:%20A%20French%20multicenter%20study&rft.jtitle=Catheterization%20and%20cardiovascular%20interventions&rft.au=Mottin,%20Beno%C3%AEt&rft.date=2016-02-15&rft.volume=87&rft.issue=3&rft.spage=411&rft.epage=418&rft.pages=411-418&rft.issn=1522-1946&rft.eissn=1522-726X&rft.coden=CARIF2&rft_id=info:doi/10.1002/ccd.26320&rft_dat=%3Cproquest_pubme%3E3963992011%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1768112539&rft_id=info:pmid/26527600&rfr_iscdi=true |