Skip to main content

Advertisement

SpringerLink
Log in

Percutaneous transcatheter occlusion of coronary artery fistulas using detachable balloons

  • Case Reports
  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Abstract

Three pediatric patients underwent successful transcatheter coronary artery fistula occlusion using the Debrun system. This latex balloon system offers several advantages over other occlusion systems. First, the balloon delivery and release is controlled. Second, “test occlusions” can be performed that allow simultaneous balloon inflation, coronary cineangiography, and electrocardiographic monitoring. Third, because the balloons are flow-directed, they are easily positioned in properly chosen locations. Finally, the balloons can be constructed to suit the size of the fistula. In this study, two patients received only one balloon; in the other patient two balloons were placed in the same fistula. All fistulas drained into either the right atrium or ventricle and were successfully occluded. After a follow-up period of up to 3 years, no local or systemic reactions to the balloons were recognized. We conclude that detachable balloon occlusion of coronary artery fistulas is a safe, effective alternative to surgical ligation in selected pediatric patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bennett JM, Maree E (1989) Successful embolization of a coronary arterial fistula.Int J Cardiol 23:405–406

    Article  CAS  PubMed  Google Scholar 

  2. Biörck G, Crafoord C (1947) Arteriovenous aneurysm on the pulmonary artery simulating patent ductus arteriosus Botalli.Thorax 2:65–74

    Google Scholar 

  3. Bishop JO, Mathur VS, Guinn GA (1974) Congenital coronary artery fistula with infarction.Chest 65:233–234

    CAS  PubMed  Google Scholar 

  4. Davidson PH, McKracken BH, McIlveen DJS (1955) Congenital coronary arteriovenous aneurysm.Br Heart J 17:569–572

    Google Scholar 

  5. Debrun G, Lacour P, Caron JP, et al (1978) Detachable balloon and calibrated-leak balloon techniques in the treatment of cerebral vascular lesions.J Neurosurg 49:634–649

    Google Scholar 

  6. Debrun G, Lacour P, Vinuela F, et al (1981) Treatment of 54 traumatic carotid-cavernous fistulas.J Neurosurg 55:678–692

    CAS  PubMed  Google Scholar 

  7. Fuhrman BP, Bass JL, Castneda-Zuniga W, Amplatz K, Lock JE (1984) Coil embolization of congenital thoracic vascular anomalies in infants and children.Circulation 70:285–289

    CAS  PubMed  Google Scholar 

  8. Gessner IH, Quisling RG, Mickle JP (1990) Transcatheter occlusion of arterial channels by a detachable, fluid filled, latex balloon. In: B Pongpanich et al (eds)Proceedings: World Congress of Pediatric Cardiology. Elsevier, Amsterdam, pp 51–55

    Google Scholar 

  9. Griffiths SP, Ellis K, Hordof AJ, et al (1983) Spontaneous complete closure of a congenital coronary artery fistula.J Am Coll Cardiol 2:1169–1173

    CAS  PubMed  Google Scholar 

  10. Haberman JH, Howard ML, Johnson ES (1963) Rupture of the coronary sinus with haemopericardium.Circulation 28:1143–1144

    Google Scholar 

  11. Hackett D, Hallidie-Smith KA (1984) Spontaneous closure of coronary artery fistula.Br Heart J 52:477–479

    CAS  PubMed  Google Scholar 

  12. Hartnell GG, Jordan SC (1990) Balloon embolization of a coronary arterial fistula.Int J Cardiol 29:381–383

    Article  CAS  PubMed  Google Scholar 

  13. Issenberg HJ (1990) Transcatheter coil closure of coronary arterial fistula.Am Heart J 120:1441–1443

    Article  CAS  PubMed  Google Scholar 

  14. Levin DC, Fellows KE, Abrams HL (1978) Hemodynamically significant primary anomalies of the coronary arteries.Circulation 58:25–34

    CAS  PubMed  Google Scholar 

  15. Liberthson RR, Sagar K, Berkoben JP, Weintraub RM, Levin FH (1979) Congenital coronary arteriovenous fistula.Circulation 59:849–854

    CAS  PubMed  Google Scholar 

  16. Mahoney LT, Schieken RM, Lauer RM (1982) Spontaneous closure of a coronary artery fistula in childhood.Pediatr Cardiol 2:311–312

    CAS  PubMed  Google Scholar 

  17. McNamera JJ, Gross RE (1969) Congenital coronary artery fistula.Surgery 65:59–69

    Google Scholar 

  18. Meyer MH, Stephenson HE, Keats TE, Martt JM (1967) Coronary artery resection for giant aneurysmal enlargement and arteriovenous fistula.Am Heart J 74:603–613

    Article  CAS  PubMed  Google Scholar 

  19. Morgan JR, Forker AD, O'Sullivan MJ Jr, Fosburg RG (1972) Coronary arterial fistulas.Am J Cardiol 30:432–436

    Article  CAS  PubMed  Google Scholar 

  20. Neill C, Mounsey P (1958) Auscultation in patent ductus arteriosus with a description of two fistulae simulating patent ductus.Br Heart J 20:61–75

    CAS  PubMed  Google Scholar 

  21. Perry SB, Rome J, Keane JF, Baim DS, Lock JE (1992) Transcatheter closure of coronary artery fistulas.J Am Coll Cardiol 20:205–209

    CAS  PubMed  Google Scholar 

  22. Prolo DJ, Burres KP, Hanberry JW (1977) Balloon occlusion of carotid-cavernous fistula: introduction of a new catheter.Surg Neurol 7:209–214

    CAS  PubMed  Google Scholar 

  23. Reidy JF, Anjos RT, Qureshi SA, Baker EJ, Tynan MJ (1991) Transcatheter embolization in the treatment of coronary artery fistulas.J Am Coll Cardiol 18:187–192

    CAS  PubMed  Google Scholar 

  24. Reidy JF, Jones ODH, Tynan MJ, Baker EJ, Joseph MC (1985) Embolisation procedures in congenital heart disease.Br Heart J 54:184–192

    CAS  PubMed  Google Scholar 

  25. Serbinenko FA (1974) Balloon catheterization and occlusion of major cerebral vessels.J Neurosurg 41:125–145

    CAS  PubMed  Google Scholar 

  26. Strunk BL, Hieshima GB, Shafton EP (1991) Percutaneous treatment of a congenital coronary arteriovenous malformation with micro-particle embolization.Cathet Cardiovasc Diagn 22:133–136

    CAS  PubMed  Google Scholar 

  27. Wilde P, Watt I (1980) Congenital coronary artery fistulae: six new cases with a collective review.Clin Radiol 31:301–311

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pediatrics and Neurosurgery, University of Florida College of Medicine, JHMHC, PO Box 100296, 32610-0296, Gainesville, FL, USA

    J. W. Skimming, I. H. Gessner, B. E. Victorica & J. P. Mickle

Authors
  1. J. W. Skimming
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. I. H. Gessner
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. E. Victorica
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. P. Mickle
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Skimming, J.W., Gessner, I.H., Victorica, B.E. et al. Percutaneous transcatheter occlusion of coronary artery fistulas using detachable balloons. Pediatr Cardiol 16, 38–41 (1995). https://doi.org/10.1007/BF02310335

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02310335

Key words

Search

Navigation