COILUMICA: coil embolization of a coronary artery to pulmonary artery fistula via novel dual lumen micro catheter technique.

2020-11-19

Nambiar, Mithun

Maingard, Julian

Li, Kenny

Slater, Lee-Anne

Chandra, Ronil V

Chong, Winston

Brooks, Duncan Mark

McGaw, David

Asadi, Hamed

Coronary vessel anomaly

Embolization

Endovascular

Fistula

Microcatheter

Percutaneous cardiac intervention

Radiology

Journal Article

0000-0002-7332-6744

10.1186/s42155-020-00177-4

Management of coronary artery fistula (CAF) is based on obliterating the fistula communication between the cardiac arteries and other thoracic vessels. We describe the presentation of an 85-year-old female with progressive exertional dyspnea on a background of a long standing left anterior descending diagonal to pulmonary artery fistula. We utilized neuro-interventional techniques to perform coil embolization via use of a Scepter XC dual lumen micro catheter. Dual lumen balloon catheters allow for super-selective artery interrogation, stability of balloon positioning, with less trauma to vessel architecture and accurate embolization. There were no complications and the patient reported improvement of symptoms on review.

link

CVIR Endovascular 2020; 3(1): 83

CVIR Endovascular