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

Research output: Contribution to journalReview articlepeer-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 languageEnglish (US)
Pages (from-to)1393-1406
Number of pages14
JournalJACC: Cardiovascular Interventions
Volume14
Issue number13
DOIs
StatePublished - Jul 12 2021

Fingerprint

Dive into the research topics of 'Coronary Artery Fistulas: Indications, Techniques, Outcomes, and Complications of Transcatheter Fistula Closure'. Together they form a unique fingerprint.

Cite this