Related Experiment Videos
Entrapment of a guide wire during percutaneous occlusion of a coronary artery fistula
D De Wolf1, F De Coster, H Verhaaren
1Department of Paediatric Cardiology, University Hospital UZ Gent, Belgium. daniel.dewolf@rug.ac.be
Insights
Coronary artery fistulas are rare, but interventional coil occlusion is effective. A microsnare successfully retrieved an entrapped guide wire during a fistula occlusion procedure in an infant, preventing wire rupture.
Area of Science:
- Cardiology
- Interventional Cardiology
- Pediatric Cardiology
Background:
- Coronary artery fistulas (CAFs) are rare congenital or acquired abnormalities.
- Interventional coil occlusion is the preferred treatment for CAFs.
Observation:
- A 3-month-old infant presented with a coronary artery fistula.
- During attempted coil occlusion, a coronary guide wire became entrapped in a small coronary branch.
Findings:
- The entrapped guide wire was successfully retrieved using a microsnare technique.
- The microsnare intervention prevented potential coronary artery damage and guide wire rupture.
Implications:
- Microsnare retrieval is a safe and effective technique for managing entrapped guide wires during coronary interventions.
- This case highlights the utility of microsnare in pediatric interventional cardiology for complex CAF treatment.
Abstract:
Coronary artery fistulas are extremely rare and coil occlusion by intervention techniques seems to be the therapy of choice. We describe the case of a 3-month-old infant with a coronary artery fistula. During occlusion of the fistula a coronary guide wire got entrapped in a small coronary branch, but could be successfully retrieved with a microsnare without damage to the heart. The microsnare technique prevented rupture of the guide wire.