{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T09:13:12Z","timestamp":1762161192718,"version":"3.41.0"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,11,3]],"date-time":"2015-11-03T00:00:00Z","timestamp":1446508800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2016,2,15]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The short\u2010term efficacy and safety of transcatheter closure (TCC) for the management of coronary artery fistulas (CAFs) was investigated in pediatric patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>CAFS are rare with potentially severe complications and their management is still a matter of debate. Percutaneous closure appears to be the treatment of choice in anatomically suitable vessels but limited data are available in the pediatric population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective, observational, multicenter, national study included patients under 16 years of age who underwent TCC of a congenital CAF. Patients with additional congenital heart defect were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>61 patients (36 girls, 25 boys) with a median age of 0.6 year [0\u201315.4] at diagnosis and 3.9 years [0\u201316] at procedure were included. The CAF was large in 48 patients (79%); it was distal in 23 (38%) and proximal in 22 (36%). Most patients (77%) were asymptomatic at diagnosis. Clinical signs of congestive heart failure were present in seven patients (11%). Perioperative complications included three cases of ST elevation myocardial infarction (exclusively during attempted closure of a distal CAF), three devices migrations, and one case of leg ischemia. One patient died after surgical closure of a large distal CAF that could not be closed by TCC. Follow\u2010up data were collected for 43 patients (70%) for a median of 91 days [0\u20134,824]. The Kaplan\u2010Meyer estimate for complete occlusion at 2 years was 73\u2009\u00b1\u20097.6%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TCC in the pediatric population appears to be effective and associated with few complications. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26320","type":"journal-article","created":{"date-parts":[[2015,11,3]],"date-time":"2015-11-03T12:04:51Z","timestamp":1446552291000},"page":"411-418","source":"Crossref","is-referenced-by-count":15,"title":["Transcatheter closure of coronary artery fistulas ininfants and children: A French multicenter study"],"prefix":"10.1002","volume":"87","author":[{"given":"Beno\u00eet","family":"Mottin","sequence":"first","affiliation":[{"name":"Institut Du Thorax, Centre Hospitalier Universitaire De Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alban","family":"Baruteau","sequence":"additional","affiliation":[{"name":"Centre 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