Transcatheter Closure of Congenital Coronary Artery Fistulae: Immediate and Long‐Term Follow‐Up Results
Background Transcatheter closure of coronary artery fistulae (CAF) has emerged as an alternative to surgery, but there are no long‐term outcome results. Objective We report immediate and long‐term results in 24 patients after transcatheter closure of congen‐ ital CAF. Methods A total of 24 patients...
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| Veröffentlicht in: | Clinical cardiology (Mahwah, N.J.) N.J.), 2009-09, Vol.32 (9), p.506-512 |
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| creator | Zhu, Xian‐Yang Zhang, Duan‐Zhen Han, Xiu‐Min Cui, Chun‐Sheng Sheng, Xiao‐Tang Wang, Qi‐Guang Cha, Yong‐Mei Abhiram, Prasad Rihal, Charanjit S. |
| description | Background
Transcatheter closure of coronary artery fistulae (CAF) has emerged as an alternative to surgery, but there are no long‐term outcome results.
Objective
We report immediate and long‐term results in 24 patients after transcatheter closure of congen‐ ital CAF.
Methods
A total of 24 patients aged 5 to 56 years old with congenital CAF underwent attempted percutaneous transcatheter closure using various devices between November 1998 and August 2008. The immediate closure results and clinical follow‐up were reviewed.
Results
Of the 24 patients, 20 (83.3%) underwent successful transcatheter closure using various devices. An angiogram right after device deployment revealed complete occlusion in 15 patients (75%) and trivial‐ to mild‐ residual flow in 5 patients (25%). Four patients (20%) had transient ST‐T wave changes after the procedure. The left ventricular end‐diastolic volume decreased from 165±31.4 mm3 to 128.6±24.4 mm3 (P = 0.012) 24 hours after procedure, and the cardiothoracic ratio from 0.57±0.02 to 0.53±0.01 (P = 0.003). Follow‐up was 100% complete and ranged from 3 months to 10 years. There were no early or late deaths. All patients were asymptomatic with complete closure of CAF except 1 patient (5%) who had a recurrence of shunt at 6‐month follow‐up, which was re‐closed by percutaneous technique.
Conclusion
Transcatheter closure of CAF is feasible and safe in anatomically suitable vessels and is a promising alternative to surgery in most patients. Copyright © 2009 Wiley Periodicals, Inc. |
| doi_str_mv | 10.1002/clc.20650 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6653544</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733906195</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5100-95797b003e102c63991250888e9f22edf5904a7ac55c6091465a0829efa0eba83</originalsourceid><addsrcrecordid>eNp1kc1u1DAUhS0EokNh0ReovEGIRVr_xEnMolIVMVBppErVdG15PDetWyee2gnV7HgEnpEn4cKMWliwsq37-Zx7dAg54uyEMyZOXXAnglWKvSAzrqUomlrWL8mM8YoVWjT6gLzJ-Q5R1gj5mhxwXZeybPSM3C-THbKz4y2MkGgbYp4S0NjRNg43MPjRBrymONi0pecJoS2d-zxOwcInetH3sPZ2BGqHNV3gl5_ffywh9XQeQ4iP-Lre0CvIUxjzW_KqsyHDu_15SK7nn5ft12Jx-eWiPV8UTmGcQqta1yvGJHAmXCW15kKxpmlAd0LAulOalba2TilXMc3LSlnMpaGzDFa2kYfkbKe7mVa4noNhTDaYTfI9hjDRevPvZPC35iZ-M1WlpCpLFPiwF0jxYYI8mt5nByHYAeKUTS2lZhXXCsmPO9KlmHOC7smFM_O7G4PdmD_dIHv891rP5L4MBN7vAYuNhA6bcT4_cYLrUnIukDvdcY8-wPb_jqZdtDvrX0A0qFA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>733906195</pqid></control><display><type>article</type><title>Transcatheter Closure of Congenital Coronary Artery Fistulae: Immediate and Long‐Term Follow‐Up Results</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Zhu, Xian‐Yang ; Zhang, Duan‐Zhen ; Han, Xiu‐Min ; Cui, Chun‐Sheng ; Sheng, Xiao‐Tang ; Wang, Qi‐Guang ; Cha, Yong‐Mei ; Abhiram, Prasad ; Rihal, Charanjit S.</creator><creatorcontrib>Zhu, Xian‐Yang ; Zhang, Duan‐Zhen ; Han, Xiu‐Min ; Cui, Chun‐Sheng ; Sheng, Xiao‐Tang ; Wang, Qi‐Guang ; Cha, Yong‐Mei ; Abhiram, Prasad ; Rihal, Charanjit S.</creatorcontrib><description>Background
Transcatheter closure of coronary artery fistulae (CAF) has emerged as an alternative to surgery, but there are no long‐term outcome results.
Objective
We report immediate and long‐term results in 24 patients after transcatheter closure of congen‐ ital CAF.
Methods
A total of 24 patients aged 5 to 56 years old with congenital CAF underwent attempted percutaneous transcatheter closure using various devices between November 1998 and August 2008. The immediate closure results and clinical follow‐up were reviewed.
Results
Of the 24 patients, 20 (83.3%) underwent successful transcatheter closure using various devices. An angiogram right after device deployment revealed complete occlusion in 15 patients (75%) and trivial‐ to mild‐ residual flow in 5 patients (25%). Four patients (20%) had transient ST‐T wave changes after the procedure. The left ventricular end‐diastolic volume decreased from 165±31.4 mm3 to 128.6±24.4 mm3 (P = 0.012) 24 hours after procedure, and the cardiothoracic ratio from 0.57±0.02 to 0.53±0.01 (P = 0.003). Follow‐up was 100% complete and ranged from 3 months to 10 years. There were no early or late deaths. All patients were asymptomatic with complete closure of CAF except 1 patient (5%) who had a recurrence of shunt at 6‐month follow‐up, which was re‐closed by percutaneous technique.
Conclusion
Transcatheter closure of CAF is feasible and safe in anatomically suitable vessels and is a promising alternative to surgery in most patients. Copyright © 2009 Wiley Periodicals, Inc.</description><identifier>ISSN: 0160-9289</identifier><identifier>EISSN: 1932-8737</identifier><identifier>DOI: 10.1002/clc.20650</identifier><identifier>PMID: 19743489</identifier><identifier>CODEN: CLCADC</identifier><language>eng</language><publisher>New York: Wiley Periodicals, Inc</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Cardiac Catheterization - adverse effects ; Cardiac Catheterization - instrumentation ; Cardiology. Vascular system ; Child ; Child, Preschool ; Clinical Investigation ; Clinical Investigations ; Coronary Angiography ; Coronary Artery Disease - congenital ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - physiopathology ; Coronary Artery Disease - therapy ; Coronary Vessel Anomalies - diagnostic imaging ; Coronary Vessel Anomalies - physiopathology ; Coronary Vessel Anomalies - therapy ; Feasibility Studies ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Stroke Volume ; Time Factors ; Treatment Outcome ; Vascular Fistula - congenital ; Vascular Fistula - diagnostic imaging ; Vascular Fistula - physiopathology ; Vascular Fistula - therapy ; Ventricular Function, Left ; Young Adult</subject><ispartof>Clinical cardiology (Mahwah, N.J.), 2009-09, Vol.32 (9), p.506-512</ispartof><rights>Copyright © 2009 Wiley Periodicals, Inc.</rights><rights>2009 INIST-CNRS</rights><rights>Copyright 2009 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5100-95797b003e102c63991250888e9f22edf5904a7ac55c6091465a0829efa0eba83</citedby><cites>FETCH-LOGICAL-c5100-95797b003e102c63991250888e9f22edf5904a7ac55c6091465a0829efa0eba83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6653544/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6653544/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,1411,27901,27902,45550,45551,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21943112$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19743489$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Xian‐Yang</creatorcontrib><creatorcontrib>Zhang, Duan‐Zhen</creatorcontrib><creatorcontrib>Han, Xiu‐Min</creatorcontrib><creatorcontrib>Cui, Chun‐Sheng</creatorcontrib><creatorcontrib>Sheng, Xiao‐Tang</creatorcontrib><creatorcontrib>Wang, Qi‐Guang</creatorcontrib><creatorcontrib>Cha, Yong‐Mei</creatorcontrib><creatorcontrib>Abhiram, Prasad</creatorcontrib><creatorcontrib>Rihal, Charanjit S.</creatorcontrib><title>Transcatheter Closure of Congenital Coronary Artery Fistulae: Immediate and Long‐Term Follow‐Up Results</title><title>Clinical cardiology (Mahwah, N.J.)</title><addtitle>Clin Cardiol</addtitle><description>Background
Transcatheter closure of coronary artery fistulae (CAF) has emerged as an alternative to surgery, but there are no long‐term outcome results.
Objective
We report immediate and long‐term results in 24 patients after transcatheter closure of congen‐ ital CAF.
Methods
A total of 24 patients aged 5 to 56 years old with congenital CAF underwent attempted percutaneous transcatheter closure using various devices between November 1998 and August 2008. The immediate closure results and clinical follow‐up were reviewed.
Results
Of the 24 patients, 20 (83.3%) underwent successful transcatheter closure using various devices. An angiogram right after device deployment revealed complete occlusion in 15 patients (75%) and trivial‐ to mild‐ residual flow in 5 patients (25%). Four patients (20%) had transient ST‐T wave changes after the procedure. The left ventricular end‐diastolic volume decreased from 165±31.4 mm3 to 128.6±24.4 mm3 (P = 0.012) 24 hours after procedure, and the cardiothoracic ratio from 0.57±0.02 to 0.53±0.01 (P = 0.003). Follow‐up was 100% complete and ranged from 3 months to 10 years. There were no early or late deaths. All patients were asymptomatic with complete closure of CAF except 1 patient (5%) who had a recurrence of shunt at 6‐month follow‐up, which was re‐closed by percutaneous technique.
Conclusion
Transcatheter closure of CAF is feasible and safe in anatomically suitable vessels and is a promising alternative to surgery in most patients. Copyright © 2009 Wiley Periodicals, Inc.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cardiac Catheterization - adverse effects</subject><subject>Cardiac Catheterization - instrumentation</subject><subject>Cardiology. Vascular system</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical Investigation</subject><subject>Clinical Investigations</subject><subject>Coronary Angiography</subject><subject>Coronary Artery Disease - congenital</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - physiopathology</subject><subject>Coronary Artery Disease - therapy</subject><subject>Coronary Vessel Anomalies - diagnostic imaging</subject><subject>Coronary Vessel Anomalies - physiopathology</subject><subject>Coronary Vessel Anomalies - therapy</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Stroke Volume</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vascular Fistula - congenital</subject><subject>Vascular Fistula - diagnostic imaging</subject><subject>Vascular Fistula - physiopathology</subject><subject>Vascular Fistula - therapy</subject><subject>Ventricular Function, Left</subject><subject>Young Adult</subject><issn>0160-9289</issn><issn>1932-8737</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAUhS0EokNh0ReovEGIRVr_xEnMolIVMVBppErVdG15PDetWyee2gnV7HgEnpEn4cKMWliwsq37-Zx7dAg54uyEMyZOXXAnglWKvSAzrqUomlrWL8mM8YoVWjT6gLzJ-Q5R1gj5mhxwXZeybPSM3C-THbKz4y2MkGgbYp4S0NjRNg43MPjRBrymONi0pecJoS2d-zxOwcInetH3sPZ2BGqHNV3gl5_ffywh9XQeQ4iP-Lre0CvIUxjzW_KqsyHDu_15SK7nn5ft12Jx-eWiPV8UTmGcQqta1yvGJHAmXCW15kKxpmlAd0LAulOalba2TilXMc3LSlnMpaGzDFa2kYfkbKe7mVa4noNhTDaYTfI9hjDRevPvZPC35iZ-M1WlpCpLFPiwF0jxYYI8mt5nByHYAeKUTS2lZhXXCsmPO9KlmHOC7smFM_O7G4PdmD_dIHv891rP5L4MBN7vAYuNhA6bcT4_cYLrUnIukDvdcY8-wPb_jqZdtDvrX0A0qFA</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>Zhu, Xian‐Yang</creator><creator>Zhang, Duan‐Zhen</creator><creator>Han, Xiu‐Min</creator><creator>Cui, Chun‐Sheng</creator><creator>Sheng, Xiao‐Tang</creator><creator>Wang, Qi‐Guang</creator><creator>Cha, Yong‐Mei</creator><creator>Abhiram, Prasad</creator><creator>Rihal, Charanjit S.</creator><general>Wiley Periodicals, Inc</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200909</creationdate><title>Transcatheter Closure of Congenital Coronary Artery Fistulae: Immediate and Long‐Term Follow‐Up Results</title><author>Zhu, Xian‐Yang ; Zhang, Duan‐Zhen ; Han, Xiu‐Min ; Cui, Chun‐Sheng ; Sheng, Xiao‐Tang ; Wang, Qi‐Guang ; Cha, Yong‐Mei ; Abhiram, Prasad ; Rihal, Charanjit S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5100-95797b003e102c63991250888e9f22edf5904a7ac55c6091465a0829efa0eba83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cardiac Catheterization - adverse effects</topic><topic>Cardiac Catheterization - instrumentation</topic><topic>Cardiology. Vascular system</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Clinical Investigation</topic><topic>Clinical Investigations</topic><topic>Coronary Angiography</topic><topic>Coronary Artery Disease - congenital</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - physiopathology</topic><topic>Coronary Artery Disease - therapy</topic><topic>Coronary Vessel Anomalies - diagnostic imaging</topic><topic>Coronary Vessel Anomalies - physiopathology</topic><topic>Coronary Vessel Anomalies - therapy</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Stroke Volume</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vascular Fistula - congenital</topic><topic>Vascular Fistula - diagnostic imaging</topic><topic>Vascular Fistula - physiopathology</topic><topic>Vascular Fistula - therapy</topic><topic>Ventricular Function, Left</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, Xian‐Yang</creatorcontrib><creatorcontrib>Zhang, Duan‐Zhen</creatorcontrib><creatorcontrib>Han, Xiu‐Min</creatorcontrib><creatorcontrib>Cui, Chun‐Sheng</creatorcontrib><creatorcontrib>Sheng, Xiao‐Tang</creatorcontrib><creatorcontrib>Wang, Qi‐Guang</creatorcontrib><creatorcontrib>Cha, Yong‐Mei</creatorcontrib><creatorcontrib>Abhiram, Prasad</creatorcontrib><creatorcontrib>Rihal, Charanjit S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhu, Xian‐Yang</au><au>Zhang, Duan‐Zhen</au><au>Han, Xiu‐Min</au><au>Cui, Chun‐Sheng</au><au>Sheng, Xiao‐Tang</au><au>Wang, Qi‐Guang</au><au>Cha, Yong‐Mei</au><au>Abhiram, Prasad</au><au>Rihal, Charanjit S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transcatheter Closure of Congenital Coronary Artery Fistulae: Immediate and Long‐Term Follow‐Up Results</atitle><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle><addtitle>Clin Cardiol</addtitle><date>2009-09</date><risdate>2009</risdate><volume>32</volume><issue>9</issue><spage>506</spage><epage>512</epage><pages>506-512</pages><issn>0160-9289</issn><eissn>1932-8737</eissn><coden>CLCADC</coden><abstract>Background
Transcatheter closure of coronary artery fistulae (CAF) has emerged as an alternative to surgery, but there are no long‐term outcome results.
Objective
We report immediate and long‐term results in 24 patients after transcatheter closure of congen‐ ital CAF.
Methods
A total of 24 patients aged 5 to 56 years old with congenital CAF underwent attempted percutaneous transcatheter closure using various devices between November 1998 and August 2008. The immediate closure results and clinical follow‐up were reviewed.
Results
Of the 24 patients, 20 (83.3%) underwent successful transcatheter closure using various devices. An angiogram right after device deployment revealed complete occlusion in 15 patients (75%) and trivial‐ to mild‐ residual flow in 5 patients (25%). Four patients (20%) had transient ST‐T wave changes after the procedure. The left ventricular end‐diastolic volume decreased from 165±31.4 mm3 to 128.6±24.4 mm3 (P = 0.012) 24 hours after procedure, and the cardiothoracic ratio from 0.57±0.02 to 0.53±0.01 (P = 0.003). Follow‐up was 100% complete and ranged from 3 months to 10 years. There were no early or late deaths. All patients were asymptomatic with complete closure of CAF except 1 patient (5%) who had a recurrence of shunt at 6‐month follow‐up, which was re‐closed by percutaneous technique.
Conclusion
Transcatheter closure of CAF is feasible and safe in anatomically suitable vessels and is a promising alternative to surgery in most patients. Copyright © 2009 Wiley Periodicals, Inc.</abstract><cop>New York</cop><pub>Wiley Periodicals, Inc</pub><pmid>19743489</pmid><doi>10.1002/clc.20650</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Adolescent Adult Biological and medical sciences Cardiac Catheterization - adverse effects Cardiac Catheterization - instrumentation Cardiology. Vascular system Child Child, Preschool Clinical Investigation Clinical Investigations Coronary Angiography Coronary Artery Disease - congenital Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - physiopathology Coronary Artery Disease - therapy Coronary Vessel Anomalies - diagnostic imaging Coronary Vessel Anomalies - physiopathology Coronary Vessel Anomalies - therapy Feasibility Studies Female Humans Male Medical sciences Middle Aged Stroke Volume Time Factors Treatment Outcome Vascular Fistula - congenital Vascular Fistula - diagnostic imaging Vascular Fistula - physiopathology Vascular Fistula - therapy Ventricular Function, Left Young Adult |
| title | Transcatheter Closure of Congenital Coronary Artery Fistulae: Immediate and Long‐Term Follow‐Up Results |
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