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  • Title: Catheter-based techniques for closure of coronary fistulae.
    Author: Dorros G, Thota V, Ramireddy K, Joseph G.
    Journal: Catheter Cardiovasc Interv; 1999 Feb; 46(2):143-50. PubMed ID: 10348532.
    Abstract:
    This study details different methodologies of percutaneous closure of arteriosystemic and arteriovenous coronary fistula. Seven patients underwent transcatheter intervention of 10 fistulas, with 7 fistulas successfully closed: 6 with embolic coil devices and 1 with a covered stent obstructing the fistula ostium. The major complication encountered was one death as a result of device recoil into a major epicardial vessel. Percutaneous transcatheter closure of coronary fistulas appears to be simple, facile, and effective. However, device recoil into an undesired arterial segment, while irritating in a noncoronary arterial tree, may be catastrophic when occurring in an epicardial coronary artery.
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