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Percutaneous closure of coronary pulmonary arterial fistula using catheterization laboratory trash
Vijay Kumar Trehan1, Ramesh Arora, Saibal Mukhopadhyay
1Department of Cardiology, G.B. Pant Hospital, New Delhi, India. trehanvs@yahoo.co.in
Insights
A novel technique successfully closed a coronary pulmonary arterial fistula using thrombogenic guidewire tips. This innovative approach offers an alternative to traditional steel coils for fistula occlusion.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Surgery
Background:
- Coronary pulmonary arterial fistulas are rare congenital or acquired abnormalities.
- Traditional treatments for these fistulas often involve surgical closure or embolization with steel coils, which can have complications.
Observation:
- A case of coronary pulmonary arterial fistula was encountered.
- The fistula was successfully occluded using a novel technique.
Findings:
- The occlusion was achieved by packing the fistula with thrombogenic floppy tips of used percutaneous transluminal coronary angioplasty guidewires.
- This method proved effective in sealing the abnormal connection.
Implications:
- This technique presents a potentially safer and more accessible alternative to conventional methods for managing coronary pulmonary arterial fistulas.
- Further research may explore the broader applicability and long-term outcomes of using thrombogenic guidewire tips in interventional cardiology.
Abstract:
We report a case of coronary pulmonary arterial fistula that was successfully occluded by packing the fistula with thrombogenic floppy tips of used percutaneous transluminal coronary angioplasty guidewires instead of conventional steel coils.