Using Judkins Left Catheter for Coil Embolization of Right Coronary Artery-to-Pulmonary Artery Fistula
Abstract
During the percutaneous occlusion of a coronary artery-to-pulmonary artery fistula (CPF), to prevent the retrograde migration of the coil, maintaining the coaxiality of the guide catheter and fistula origin and providing reliable catheter support is highly important. Here, we described the percutaneous occlusion of a right coronary arteryto- pulmonary artery fistula (CPF). With many types of catheters, we were unable to have strong catheter support; eventually we achieved adequate coaxiality and reliable catheter support with a 4Fr Judkins left. To our knowledge, it is the first case in the literature, that a Judkins left guide catheter is used for the occlusion of a rightsided fistula.
Project Number
YOK
References
- Nambiar M, Maingard J, Li K, et al. COILUMICA: Coil embolization of a coronary artery to pulmonary artery fistula via novel dual lumen micro catheter technique. CVIR Endovasc. 2020;3(1):83.
- Sulemankhil I, Mohamed AH, Gilani SA. Coronary-Pulmonary artery fistula repair with coil embolization: A single center experience. Cureus. 2022;14(8):e28407.
- Cuevas CI, Sánchez-Recalde A, Pereda LR, Moreno R. Transcatheter closure of a complex fistula from the right coronary artery to the pulmonary artery using microcoils and a radial approach. Rev Esp Cardiol. 2008;61(1):10-12.
- Rubimbura V, Girod G, Delabays A, et al. Case report: Coronary-Pulmonary fistula closure by percutaneous approach: learning from mistakes. Front Cardiovasc Med. 2022;8:779716.
- Chawla R, Ahamad W, Sharma V. Techniques to overcome difficulty in device deliverability to lesion in complex PCI. Curr Cardiol Rev. 2020;16(2):117-124
Abstract
Bir koroner arter-pulmoner arter fistülünün (CPF) perkütan oklüzyon işlemi sırasında, kullanılan koil materyalinin retrograd migrasyonunun önlenmesi için, guide kateterin ve fistül ağzının koaksiyel olması ve güvenilir bir kateter desteğinin sağlanması oldukça önemlidir. Biz, bu vakamızda bir sağ koroner arter-pulmoner arter fistülünün (CPF) perkütan oklüzyon işlemini tanımladık. Pek çok kateter ile denememize rağmen güçlü bir kateter desteği elde etmede başarılı olamadık. En sonunda bir 4Fr Judkins sol guide kateter ile yeterli koaksiyelliği ve güvenilir bir kateter desteğini elde ettik. Bizim bildiğimiz kadarı ile bu vaka, literatürde bir Judkins sol guide kateterin, sağdan köken alan bir fistülün kapatılması işleminde kullanıldığı ilk olgudur.
Supporting Institution
YOK
Project Number
YOK
Thanks
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References
- Nambiar M, Maingard J, Li K, et al. COILUMICA: Coil embolization of a coronary artery to pulmonary artery fistula via novel dual lumen micro catheter technique. CVIR Endovasc. 2020;3(1):83.
- Sulemankhil I, Mohamed AH, Gilani SA. Coronary-Pulmonary artery fistula repair with coil embolization: A single center experience. Cureus. 2022;14(8):e28407.
- Cuevas CI, Sánchez-Recalde A, Pereda LR, Moreno R. Transcatheter closure of a complex fistula from the right coronary artery to the pulmonary artery using microcoils and a radial approach. Rev Esp Cardiol. 2008;61(1):10-12.
- Rubimbura V, Girod G, Delabays A, et al. Case report: Coronary-Pulmonary fistula closure by percutaneous approach: learning from mistakes. Front Cardiovasc Med. 2022;8:779716.
- Chawla R, Ahamad W, Sharma V. Techniques to overcome difficulty in device deliverability to lesion in complex PCI. Curr Cardiol Rev. 2020;16(2):117-124
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Clinical Sciences (Other) |
| Journal Section | Case Report |
| Authors | |
| Project Number | YOK |
| Publication Date | February 29, 2024 |
| Submission Date | July 15, 2023 |
| Published in Issue | Year 2024 |