Interventional treatment of coronary artery fistulas by using Guglielmi detachable coils：analysis of feasibility and safety with single center experience
10.3969/j.issn.1008-794X.2015.05.002
- VernacularTitle:电解弹簧圈介入治疗冠状动脉瘘的单中心经验--可行性、安全性分析
- Author:
Can FENG
;
Jun GUO
;
Tao JI
;
Jiaqi ZHU
;
Xianxian ZHAO
- Publication Type:Journal Article
- Keywords:
Guglielmi detachable coil;
coronary artery fistula;
interventional therapy
- From:
Journal of Interventional Radiology
2015;(5):373-377
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience in treating coronary artery fistula (CAF) by using Guglielmi detachable coils. Methods During the period from July 2009 to November 2014 at the Affiliated Changhai Hospital of Second Military Medical University, interventional treatment of CAF by using Guglielmi detachable coils was performed in 40 patients. The clinical data were retrospectively analyzed. The feasibility, safety and effectiveness of this technique were evaluated. Results Successful transcatheter closure of CAF with Guglielmi detachable coils was achieved in all 40 patients; the average Guglielmi detachable coils used in each patient was(2.33±1.38) coils. No procedure-related complications occurred. Intra-operative angiography showed that residual shunt completely disappeared in 12 patients (30%) and blood flow was significantly decreased in 28 patients (70%). All the patients were followed up for 1-65 months, neither complications such as recurrent bleeding and ischemia nor stenosis and occlusion of related arteries, or fistula cavity rupture occurred. Conclusion The use of Guglielmi detachable coil in interventional treatment of CAF is safe and effective, although its long-term effect needs to be further verified.
