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Pediatric Cardiology
Published in: Pediatric Cardiology 2/2009

01-02-2009 | Case Report

Transarterial and Transvenous Approach for Transcatheter Closure of a Large Coronary Artery Fistula with the Amplatzer Vascular Plug

Authors: G. Wiegand, L. Sieverding, R. Kaulitz, M. Hofbeck

Published in: Pediatric Cardiology | Issue 2/2009

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Abstract

Interventional occlusion of coronary artery fistulas has become a well-accepted alternative to surgical therapy. However, occlusion of high-flow lesions in children, necessitating implantation of large occluding devices, may be limited by the requirement of large delivery catheters. This report describes the interventional occlusion of a large coronary artery fistula in an 8-year-old girl. Complete occlusion was achieved by subsequent transvenous and transarterial implantation of two Amplatzer vascular plugs (AVP). The AVP is an interesting alternative for interventional occlusion of large coronary artery fistulas in children that can be deployed safely by rather small guiding catheters.
Literature
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Metadata
Title
Transarterial and Transvenous Approach for Transcatheter Closure of a Large Coronary Artery Fistula with the Amplatzer Vascular Plug
Authors
G. Wiegand
L. Sieverding
R. Kaulitz
M. Hofbeck
Publication date
01-02-2009
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 2/2009
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-008-9266-4

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