Coronary Artery Fistulas: Indications, Techniques, Outcomes, and Complications of Transcatheter Fistula Closure

Mohammed Al-Hijji; Abdallah El Sabbagh; Stephanie El Hajj; Mohamad AlKhouli; Bassim El Sabawi; Allison Cabalka; William R. Miranda; David R. Holmes; Charanjit S. Rihal

doi:10.1016/j.jcin.2021.02.044

Coronary Artery Fistulas: Indications, Techniques, Outcomes, and Complications of Transcatheter Fistula Closure

Mohammed Al-Hijji, Abdallah El Sabbagh, Stephanie El Hajj, Mohamad AlKhouli, Bassim El Sabawi, Allison Cabalka, William R. Miranda, David R. Holmes, Charanjit S. Rihal

Cardiovascular Medicine

Research output: Contribution to journal › Review article › peer-review

Abstract

Coronary artery fistulas (CAFs) are rare coronary anomalies that are usually diagnosed incidentally with cardiac imaging. Small CAFs are generally asymptomatic and can close over time, while some untreated medium or large CAFs can enlarge, leading to clinical sequelae such as cardiac chamber enlargement or myocardial ischemia. With the advancement of transcatheter equipment and techniques, CAFs have been increasingly closed using a percutaneous approach. However, the procedure is not free of limitations given the risk for myocardial infarction, device embolization, and fistula recanalization. In this review, the authors illustrate the contemporary procedural considerations, techniques, and outcomes of transcatheter CAF closure.

Original language	English (US)
Pages (from-to)	1393-1406
Number of pages	14
Journal	JACC: Cardiovascular Interventions
Volume	14
Issue number	13
DOIs	https://doi.org/10.1016/j.jcin.2021.02.044
State	Published - Jul 12 2021

Keywords

chest
coronary artery fistula
percutaneous closure

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.jcin.2021.02.044

Cite this

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title = "Coronary Artery Fistulas: Indications, Techniques, Outcomes, and Complications of Transcatheter Fistula Closure",

abstract = "Coronary artery fistulas (CAFs) are rare coronary anomalies that are usually diagnosed incidentally with cardiac imaging. Small CAFs are generally asymptomatic and can close over time, while some untreated medium or large CAFs can enlarge, leading to clinical sequelae such as cardiac chamber enlargement or myocardial ischemia. With the advancement of transcatheter equipment and techniques, CAFs have been increasingly closed using a percutaneous approach. However, the procedure is not free of limitations given the risk for myocardial infarction, device embolization, and fistula recanalization. In this review, the authors illustrate the contemporary procedural considerations, techniques, and outcomes of transcatheter CAF closure.",

keywords = "chest, coronary artery fistula, percutaneous closure",

author = "Mohammed Al-Hijji and {El Sabbagh}, Abdallah and {El Hajj}, Stephanie and Mohamad AlKhouli and {El Sabawi}, Bassim and Allison Cabalka and Miranda, {William R.} and Holmes, {David R.} and Rihal, {Charanjit S.}",

note = "Publisher Copyright: {\textcopyright} 2021 American College of Cardiology Foundation",

year = "2021",

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day = "12",

doi = "10.1016/j.jcin.2021.02.044",

language = "English (US)",

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T1 - Coronary Artery Fistulas

T2 - Indications, Techniques, Outcomes, and Complications of Transcatheter Fistula Closure

AU - Al-Hijji, Mohammed

AU - El Sabbagh, Abdallah

AU - El Hajj, Stephanie

AU - AlKhouli, Mohamad

AU - El Sabawi, Bassim

AU - Cabalka, Allison

AU - Miranda, William R.

AU - Holmes, David R.

AU - Rihal, Charanjit S.

PY - 2021/7/12

Y1 - 2021/7/12

N2 - Coronary artery fistulas (CAFs) are rare coronary anomalies that are usually diagnosed incidentally with cardiac imaging. Small CAFs are generally asymptomatic and can close over time, while some untreated medium or large CAFs can enlarge, leading to clinical sequelae such as cardiac chamber enlargement or myocardial ischemia. With the advancement of transcatheter equipment and techniques, CAFs have been increasingly closed using a percutaneous approach. However, the procedure is not free of limitations given the risk for myocardial infarction, device embolization, and fistula recanalization. In this review, the authors illustrate the contemporary procedural considerations, techniques, and outcomes of transcatheter CAF closure.

AB - Coronary artery fistulas (CAFs) are rare coronary anomalies that are usually diagnosed incidentally with cardiac imaging. Small CAFs are generally asymptomatic and can close over time, while some untreated medium or large CAFs can enlarge, leading to clinical sequelae such as cardiac chamber enlargement or myocardial ischemia. With the advancement of transcatheter equipment and techniques, CAFs have been increasingly closed using a percutaneous approach. However, the procedure is not free of limitations given the risk for myocardial infarction, device embolization, and fistula recanalization. In this review, the authors illustrate the contemporary procedural considerations, techniques, and outcomes of transcatheter CAF closure.

KW - chest

KW - coronary artery fistula

KW - percutaneous closure

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Coronary Artery Fistulas: Indications, Techniques, Outcomes, and Complications of Transcatheter Fistula Closure

Abstract

Keywords

ASJC Scopus subject areas

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