nitinol and Vascular-Fistula

Trans-catheter closure of coronary artery fistulae (CAF) has become a successful alternative to cardiac surgery with excellent results and acceptable low rate of complications. Different techniques and devices are available to treat the extreme anatomical variability of CAF.. We retrospectively describe our case series of five patients trans-radially treated using an Amplatzer vascular plug IV (AVP-IV) with telescoping catheter technique.. Trans-radial closure of CAF using the "Child in Mother" technique with dedicated catheters to deliver the vascular plugs AVP-IV was successfully performed in all patients, in one case for a complex CAF, an hybrid step approach using coils and plugs was needed.. Trans-radial closure of CAF using AVP-IV and a telescoping catheter appeared to be safe and feasible in our case series. A persistent closure of CAF was achieved in all patients at 2 year coronary angiography follow-up.

Topics: Adult; Aged; Alloys; Cardiac Catheterization; Cardiac Catheters; Catheterization, Peripheral; Coronary Vessel Anomalies; Embolization, Therapeutic; Equipment Design; Female; Humans; Male; Middle Aged; Punctures; Radial Artery; Retrospective Studies; Treatment Outcome; Vascular Fistula