Closure of abnormal coronary communications: Coronary, fistulae, congenital, and iatrogenic
Published on Jan 1, 2021
· DOI :10.1016/B978-0-323-67278-8.00036-3
Abstract: Congenital fistulae covers a wide spectrum of vascular disorder including arteriovenous malformations and venovenous communications. This chapter primarily deals with the diagnosis and management of coronary arterial malformations and specifically fistulae. However the catheter intervention techniques described can also be applied to extra-cardiac malformations as well. We detail both antegrade and retrograde approaches to interventions techniques. We discussed the use of various coils and plugs for occlusion of fistulae. We noted concerns for the long term observation of such fistulae. Some may require anticoagulation and antiplatelet therapy to prevent coronary artery thrombosis due to sluggish flow and clotting in markedly dilated coronary arteries.