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William O. Harris, M. D. , James C. Andrews, M. D. , Douglas A

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Presentation on theme: "William O. Harris, M. D. , James C. Andrews, M. D. , Douglas A"— Presentation transcript:

1 Percutaneous Transcatheter Embolization of Coronary Arteriovenous Fistulas 
William O. Harris, M.D., James C. Andrews, M.D., Douglas A. Nichols, M.D., David R. Holmes, M.D.  Mayo Clinic Proceedings  Volume 71, Issue 1, Pages (January 1996) DOI: / Copyright © 1996 Mayo Foundation for Medical Education and Research Terms and Conditions

2 Fig. 1 Angiograms of 24-year-old woman. A, Left coronary artery injection (right anterior oblique view), demonstrating 2-cm pseudoaneurysm (arrow) of left anterior descending coronary artery extending into interventricular septum and emptying into left ventricle (arrowheads). B, Selective injection of free internal mammary artery graft, which anastomoses to mid-left anterior descending coronary artery and fills pseudoaneurysm (arrowhead) retrogradely. C, No. 9 detachable latex balloon (arrowheads) filled with contrast medium has been positioned into mid-left anterior descending coronary artery, and flow into fistula has been successfully occluded. D and E, Multiple coils have been delivered into mid-left anterior descending coronary artery and into neck of pseudoaneurysm (arrowheads): Flow into fistula from native coronary artery and graft has been diminished. Mayo Clinic Proceedings  , 37-42DOI: ( / ) Copyright © 1996 Mayo Foundation for Medical Education and Research Terms and Conditions

3 Fig. 2 Angiograms of 71-year-old woman. A, Selective circumflex coronary artery injection with 6-F, 5-left Judkins catheter (left anterior oblique view), showing dilated, tortuous circumflex artery (arrowheads) that empties into coronary sinus. Contrast medium can be seen emptying into right atrium (arrows). B, Selective circumflex arteriogram (right anterior oblique view), demonstrating 10-mm circumflex artery. Two obtuse marginal branches (arrowheads) can be seen arising from mid-circumflex artery. C, After successful coil delivery into distal cirumflex artery and coronary sinus, fistula is occluded, but flow through obtuse marginal artery (arrowheads) is not compromised. Mayo Clinic Proceedings  , 37-42DOI: ( / ) Copyright © 1996 Mayo Foundation for Medical Education and Research Terms and Conditions


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