Utilization and outcomes of transcatheter coil embolization for various coronary artery lesions: Single‐center 12‐year experience

2020 ◽  
Author(s):  
Omar M. Abdelfattah ◽  
Anas M. Saad ◽  
Nicholas Kassis ◽  
Shashank Shekhar ◽  
Toshiaki Isogai ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coil Embolization ◽  
Single Center ◽  
Coronary Artery Lesions ◽  
Transcatheter Coil Embolization

Abstract 12850: Isolated and Assisted Transcatheter Coil Embolization of Coronary Artery Lesions: The Cleveland Clinic Experience

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Omar M Abdelfattah ◽  
Anas M Saad ◽  
Nicholas Kassis ◽  
Shashank Shekhar ◽  
Toshiaki Isogai ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coil Embolization ◽  
Cleveland Clinic ◽  
Artery Aneurysm ◽  
Side Branch ◽  
Coronary Artery Lesions ◽  
Vascular Plug ◽  
Artery Pseudoaneurysm ◽  
Coronary Artery Perforation ◽  
Transcatheter Coil Embolization

Introduction: Transcatheter coil embolization (TCE) has been introduced as a modality in treating several coronary artery lesions including coronary artery fistula (CAF), patent left internal mammary artery (LIMA) side branch, coronary artery perforation (CAP), coronary artery aneurysm (CAA), and coronary artery pseudoaneurysm (CAPA) is limited. Hypothesis: TCE is underutilized in various coronary lesions despite its efficacy. Methods: This is a retrospective, descriptive study of all adult patients who underwent TCE at the Cleveland Clinic between August 2007 and August 2019. A total of 41 patients, including 25 CAF, 7 patent LIMA side branches, 5 CAP, 2 CAA, and 2 CAPA from a total of 121,196 cases, were studied. Results: Successful angiographic closure was performed in 37 out of 41 (90%) cases (100% ,100% ,100%, 88%, 80%, of patent LIMA side branch ,CAA, CAPA, CAF, CAP, respectively). Ampatzer vascular plug was used as an adjunctive device in 10% of the total cohort. No adverse events were directly associated with TCE among the LIMA, CAA, and CAPA lesions, and only one patient with CAF required re-intervention at three months due to coil migration. One patient with a large CAP of the mid-left anterior descending artery died while hospitalized due to cardiogenic shock despite successful embolization. Conclusions: Transcatheter Coil embolization in our institution was safe and effective in treating different coronary circulation abnormalities with successful angiographic results in 90% of treated cases. Additional study on the utilization of vascular plug devices in cases such as LIMA side branch or CAF would be beneficial to better understand the treatment options.

scholarly journals Transcatheter coil embolization of iatrogenic coronary artery–left ventricle fistula after mitral valve replacement

2017 ◽  
Vol 29 (2) ◽  
pp. 148-152 ◽  
Author(s):  
Ata Firuzi ◽  
Mohammad Javad Alemzadeh-Ansari ◽  
Hamid Reza Pouraliakbar
Keyword(s):  
Coronary Artery ◽  
Mitral Valve ◽  
Left Ventricle ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Coil Embolization ◽  
Transcatheter Coil Embolization

scholarly journals Midterm outcomes of prospective, randomized, single-center study of the Janus tacrolimus-eluting stent for treatment of native coronary artery lesions

2007 ◽  
Vol 120 (7) ◽  
pp. 552-556 ◽  
Author(s):  
Ya-ling HAN ◽  
Shou-li WANG ◽  
Quan-min JING ◽  
Hai-bo YU ◽  
Bin WANG ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Single Center ◽  
Coronary Artery Lesions ◽  
Native Coronary Artery ◽  
Single Center Study ◽  
Center Study

Successful Transcatheter Coil Embolization of Coronary Artery Fistula in an Infant

2000 ◽  
Vol 15 (2) ◽  
pp. 153-156 ◽  
Author(s):  
Meng-Luen Lee ◽  
Wun-Tsong Chaou
Keyword(s):  
Coronary Artery ◽  
Coil Embolization ◽  
Coronary Artery Fistula ◽  
Transcatheter Coil Embolization

scholarly journals Transcatheter Coil Embolization in 17 Patients with 22 Coronary Artery Fistulas

2020 ◽  
Vol 47 (2) ◽  
pp. 135-139
Author(s):  
Ismail Ates ◽  
Zeynettin Kaya ◽  
Deniz Mutlu ◽  
Zehra I. Akyildiz ◽  
Necmettin Korucuk ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Coil Embolization ◽  
Left Coronary Artery ◽  
Success Rates ◽  
Coronary Artery Fistulas ◽  
Transcatheter Coil Embolization ◽  
The Right ◽  
Better Than

Coronary artery fistulas are rare anomalies that often become symptomatic with age. They are typically diagnosed incidentally during coronary angiography. The chief nonsurgical treatment is transcatheter coil embolization. We evaluated the outcomes of this procedure in 17 symptomatic patients who had 22 fistulas in total. The 9 men and 8 women (mean age, 52 ± 16.5 yr; range, 27–74 yr) presented at 4 Turkish hospitals from October 2008 through March 2015. Three patients had multiple fistulas. Twelve fistulas originated from the right coronary artery and 10 from the left coronary artery, draining into the pulmonary artery in 18 instances. We evaluated results postprocedurally and after 2 to 5 months, defining angiographic success as a flow better than Thrombolysis in Myocardial Infarction grade 2 in the treated artery. Twenty-one of the 22 procedures immediately produced the targeted flow. We observed 2 minor and no major complications. On follow-up, 3 symptomatic patients underwent successful repeat treatment of one fistula each. We found that transcatheter coil embolization afforded good success rates with few complications in closing coronary artery fistulas. We share our experience to add to the data on treating patients with coronary artery fistulas, and to raise awareness among clinicians.

Efficacy and safety of transcatheter coil embolization in congenital coronary artery fistulas guided by preinterventional cardiac computed tomography

2013 ◽  
Vol 24 (5) ◽  
pp. 422-430
Author(s):  
Sebastian Reith ◽  
Sebastian D. Reinartz ◽  
Mathias Burgmaier ◽  
Nikolaus Marx ◽  
Andreas H. Mahnken
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Coil Embolization ◽  
Cardiac Computed Tomography ◽  
Efficacy And Safety ◽  
Coronary Artery Fistulas ◽  
Transcatheter Coil Embolization

scholarly journals Transcatheter coil embolization of multiple coronary artery-to-left ventricle fistulas: report of a rare case

2008 ◽  
Vol 121 (14) ◽  
pp. 1342-1344 ◽  
Author(s):  
Ruo-gu LI ◽  
Wei-yi FANG ◽  
Hong-yu SHI ◽  
Xin-kai QU ◽  
Hui CHEN ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Coil Embolization ◽  
Rare Case ◽  
Transcatheter Coil Embolization
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