Percutaneous closure of coronary fistulas in adults using microvascular plugs

Catheter Cardiovasc Interv. 2024 Nov;104(5):1003-1007. doi: 10.1002/ccd.31234. Epub 2024 Sep 19.

Abstract

Percutaneous closure of coronary fistulas can be a challenge, given the tortuosity and the small caliber of the anomalous vessel. The microvascular plugs (MVP) are polytetrafluoroethylene-coated nitinol devices designed to perform embolization of small peripheral vessels. Its reduced profile allows the release of the device through microcatheters, facilitating the intervention. We present three cases of coronary fistulas in adults, percutaneously closed through radial access using these devices.

Keywords: coronary fistula device closure; microvascular plug; vessel embolization.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Alloys*
  • Cardiac Catheterization* / instrumentation
  • Cardiac Catheters
  • Coated Materials, Biocompatible
  • Coronary Angiography
  • Coronary Vessel Anomalies / diagnostic imaging
  • Coronary Vessel Anomalies / therapy
  • Embolization, Therapeutic* / instrumentation
  • Female
  • Humans
  • Male
  • Middle Aged
  • Polytetrafluoroethylene*
  • Radial Artery / diagnostic imaging
  • Treatment Outcome
  • Vascular Fistula / diagnostic imaging
  • Vascular Fistula / therapy

Substances

  • Alloys
  • nitinol
  • Polytetrafluoroethylene
  • Coated Materials, Biocompatible