Original Scientific Articles
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Journal of Structural Heart Disease, October 2018, Volume 4, Issue 5:212-221
DOI: 10.12945/j.jshd.2018.043.17
Current Interventional Management Strategies for Coronary Arteriovenous Fistulae
Awad Al-Qahtani, MD1, Ayman Zakaria, MD2, Ziyad M. Hijazi, MD, MPH, FACC, MSCAI3*
1 Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar
2 Department of Radiology, Hamad Medical Corporation, Doha, Qatar
3 Sidra Heart Center, Sidra Medicine, Doha, Qatar, Qatar
Abstract
Coronary arteriovenous fistulae are uncommon abnormal connections between one of the coronary arteries and a heart chamber or another blood vessel, usually pulmonary vasculature or other venous vessels. Clinically significant fistulae may lead to ischemia of the segment of the myocardium perfused by the affected coronary artery. Therefore, closure of such fistulae is indicated. Transcatheter closure if feasible is recommended and can be achieved using different occlusion devices. This paper discusses the clinical classification of fistulae and the interventional approach to eliminate such fistulae with some case examples. The availability of new coils and catheters render the interventional approach safe and effective.
Cite this article as: Al-Qahtani A, Zakaria A, Hijazi ZM. Current Interventional Management Strategies for Coronary Arteriovenous Fistulae. Structural Heart Disease 2018;4(5):212-221. DOI: 10.12945/j.jshd.2018.043.17
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Original Scientific Articles
Journal of Structural Heart Disease, October 2018, Volume 4, Issue 5:212-221
DOI: 10.12945/j.jshd.2018.043.17
Current Interventional Management Strategies for Coronary Arteriovenous Fistulae
Awad Al-Qahtani, MD1, Ayman Zakaria, MD2, Ziyad M. Hijazi, MD, MPH, FACC, MSCAI3*
1 Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar
2 Department of Radiology, Hamad Medical Corporation, Doha, Qatar
3 Sidra Heart Center, Sidra Medicine, Doha, Qatar, Qatar
Abstract
Coronary arteriovenous fistulae are uncommon abnormal connections between one of the coronary arteries and a heart chamber or another blood vessel, usually pulmonary vasculature or other venous vessels. Clinically significant fistulae may lead to ischemia of the segment of the myocardium perfused by the affected coronary artery. Therefore, closure of such fistulae is indicated. Transcatheter closure if feasible is recommended and can be achieved using different occlusion devices. This paper discusses the clinical classification of fistulae and the interventional approach to eliminate such fistulae with some case examples. The availability of new coils and catheters render the interventional approach safe and effective.
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Cite this article as: Al-Qahtani A, Zakaria A, Hijazi ZM. Current Interventional Management Strategies for Coronary Arteriovenous Fistulae. Structural Heart Disease 2018;4(5):212-221. DOI: 10.12945/j.jshd.2018.043.17
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