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Myocardial Infarction by Percutaneous Embolization Coil Deployment in a Swine Model
Published on: November 4, 2021
Percutaneous Coil Embolization for Symptomatic Coronary Fistula: Pre-Operative Cardiovascular Optimization Before
Diana Otero1, Narayana Sarma V Singam1, Marija Petrovic2,3
1Department of Cardiovascular Medicine, University of Louisville School of Medicine, Louisville, Kentucky, USA.
Insights
Optimizing pre-transplant cardiovascular health reduces cardiac issues after kidney transplants. A case study shows successful percutaneous coil embolization for coronary fistula in a transplant candidate.
Area of Science:
- Cardiology
- Nephrology
- Interventional Cardiology
Background:
- Pre-operative cardiovascular optimization is crucial for renal transplant recipients.
- Cardiovascular complications are a leading cause of mortality post-transplantation.
- Coronary fistulas are rare but can cause significant morbidity.
Purpose of the Study:
- To describe the successful percutaneous treatment of a symptomatic coronary fistula in a patient awaiting renal transplantation.
- To highlight the importance of addressing cardiovascular conditions before kidney transplantation.
Main Methods:
- Percutaneous coil embolization was used to treat the coronary fistula.
- The patient was undergoing pre-operative evaluation for renal transplantation.
Main Results:
- The percutaneous coil embolization effectively treated the symptomatic coronary fistula.
- The patient's cardiovascular condition was optimized prior to renal transplantation.
Conclusions:
- Percutaneous coil embolization is a viable treatment for coronary fistulas in renal transplant candidates.
- Successful management of pre-existing cardiovascular conditions can improve outcomes for renal transplant recipients.
Abstract:
Pre-operative optimization of cardiovascular conditions in patients awaiting renal transplantation significantly improves post-transplantation cardiac complications. We describe a case of symptomatic coronary fistula treated with percutaneous coil embolization in a young adult awaiting renal transplantation. (Level of Difficulty: Advanced.).
Related Concept Videos
Cardiac Catheterization I: Pre-Procedure Overview
Kidney Transplant II: Surgical Procedure
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

