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Rothstein ES, Frampton J, Devries JT, Young MN. Unrecognized perforation into the anterior interventricular vein complicating PCI for anterior STEMI: An unexpected detour. Clin Case Rep 2021; 9:e04055. [PMID: 34084489 PMCID: PMC8142412 DOI: 10.1002/ccr3.4055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 01/28/2021] [Accepted: 02/18/2021] [Indexed: 11/18/2022] Open
Abstract
Large iatrogenic coronary artery perforations require rapid management; however, operators must be able to recognize guidewire perforation into cardiac veins in order to avoid causing further complications with standard salvage strategies.
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Affiliation(s)
- Eric S. Rothstein
- Dartmouth‐Hitchcock Medical Center Heart and Vascular CenterGeisel School of MedicineLebanonNHUSA
| | - Jennifer Frampton
- Dartmouth‐Hitchcock Medical Center Heart and Vascular CenterGeisel School of MedicineLebanonNHUSA
| | - James T. Devries
- Dartmouth‐Hitchcock Medical Center Heart and Vascular CenterGeisel School of MedicineLebanonNHUSA
| | - Michael N. Young
- Dartmouth‐Hitchcock Medical Center Heart and Vascular CenterGeisel School of MedicineLebanonNHUSA
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Coil Embolization of Coronary-Cameral Fistula Complicating Revascularization of Chronic Total Occlusion. Case Rep Cardiol 2018; 2018:6857318. [PMID: 30245892 PMCID: PMC6136583 DOI: 10.1155/2018/6857318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Accepted: 06/05/2018] [Indexed: 11/30/2022] Open
Abstract
Traumatic vessel perforation is a potential complication of chronic total occlusion (CTO) percutaneous coronary artery intervention (PCI). A rare consequence of this complication is a coronary-cameral fistula. The management of this condition is not well elucidated. Herein, we present such a case of symptomatic left anterior descending to the right ventricle (LAD-RV) fistula which was treated with coil embolization.
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Banerjee S, Patra S. Coronary-Cameral Fistula Caused by Guidewire Trauma and Resolved by Coil Embolization. Tex Heart Inst J 2016; 43:338-40. [PMID: 27547147 DOI: 10.14503/thij-15-5177] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
A 57-year-old woman presented with effort angina. A coronary angiogram revealed critical 2-vessel disease, for which she subsequently underwent percutaneous coronary intervention. During angioplasty, a coronary guidewire-inadvertently passed into the right ventricle through the septal branches of the posterior descending coronary artery-caused a coronary artery-to-right ventricular fistula. This fistula was successfully closed percutaneously by coil embolization. To our knowledge, this is the first report of a case in which a coronary artery-to-right ventricular fistula caused by a guidewire was managed successfully by coil embolization.
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Park SH, Rha SW, Cho AR, Lee HG, Choi CU, Oh DJ. Successful management of iatrogenic coronary arteriovenous fistula developed during chronic total occlusion intervention. J Cardiol Cases 2012; 6:e96-e99. [PMID: 30533081 DOI: 10.1016/j.jccase.2012.05.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2012] [Revised: 04/17/2012] [Accepted: 05/12/2012] [Indexed: 12/01/2022] Open
Abstract
There have been some reports of iatrogenic coronary arteriovenous fistula (AVF) developing during percutaneous coronary intervention (PCI). PCI for chronic total occlusion (CTO) is more challenging due to a higher rate of procedural failure and increased risk of periprocedural complications. Recently, the coronary CTO guidewire has made rapid strides and revolutionized the procedure to increase high success rates for CTO revascularization. Simultaneously, as the number of CTO interventions increases, more complicated cases have also been reported. We report a case of huge iatrogenic left circumflex artery-to-posterior vein of left ventricle fistula resulting from unexpected penetration of CTO guidewire into cardiac vein during CTO intervention, which was successfully closed by a covered stent. Although controversies still exist concerning the closure of iatrogenic AVF in asymptomatic patients, especially when it drains into a third space including cardiac chambers or venous system, we decided to perform the closure of iatrogenic AVF by covered stent due to relatively bigger AVF size which was generated immediately following balloon angioplasty.
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Affiliation(s)
- Sang-Ho Park
- Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Republic of Korea.,Cardiovascular Center, Korea University Guro Hospital, 80, Guro-dong, Guro-gu, Seoul 152-703, Republic of Korea
| | - Seung-Woon Rha
- Cardiovascular Center, Korea University Guro Hospital, 80, Guro-dong, Guro-gu, Seoul 152-703, Republic of Korea
| | - A-Ra Cho
- Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Republic of Korea
| | - Hyeok-Gyu Lee
- Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Republic of Korea
| | - Cheol-Ung Choi
- Cardiovascular Center, Korea University Guro Hospital, 80, Guro-dong, Guro-gu, Seoul 152-703, Republic of Korea
| | - Dong-Joo Oh
- Cardiovascular Center, Korea University Guro Hospital, 80, Guro-dong, Guro-gu, Seoul 152-703, Republic of Korea
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Adreanides E, Giamouzis G, Pavlides G. High-output cardiomyopathy regression following percutaneous closure of left internal mammary and subclavian to pulmonary artery fistulae. Circ J 2010; 74:1260-1. [PMID: 20453395 DOI: 10.1253/circj.cj-10-0177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Elias Adreanides
- First Cardiology Department, Onassis Cardiac Surgery Center, Athens, Greece
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