Transcatheter coronary artery fistula occlusion in pediatric and adult patients facilitated by detachable coils

Author(s): Kali A. Hopkins, Erin Unger, Daniel Schimmel, Alan Nugent, Paul Tannous

Coronary artery fistulae are rare congenital or acquired lesions that may require surgical or transcatheter closure to prevent long-term sequelae. We present our experience using detachable coils with expandable hydrogel for successful occlusion of fistulae in patients ranging from 7 months to 82 years of age. The young children demonstrated remarkable remodeling of giant coronary aneurysms after fistula closure.