{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T10:54:47Z","timestamp":1785236087946,"version":"3.55.0"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2007,4,20]],"date-time":"2007-04-20T00:00:00Z","timestamp":1177027200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2007,6]]},"abstract":"<jats:p>We report our initial experience in using the Amplatzer<jats:sup>\u00ae<\/jats:sup> vascular plug for closure of coronary arterial fistulas. The self-expanding, cylindrical, device is made from Nitinol wire mesh, and is available from 4 to 16 millimetres in diameter. We have now used the device to close fistulas in 3 patients, aged from 3 to 14 years, who presented with ratios of pulmonary-to-systemic flow from 1.5 to 3. In 2 patients, fistulas arising from the proximal right and left coronary arteries, with maximal diameters of 9 and 10 millimetres, respectively, had their narrowest diameter, of 6 millimetres, proximal to the entrance into the right atrium via a saccular aneurysm. The third fistula, with a maximal diameter of 16 millimetres, and with its origin from the circumflex coronary artery, entered the right atrium with nearly unrestricted flow, its narrowest diameter being 8 millimetres. For interventional closure, we chose plugs twice the diameter of the narrowest segment of the fistula, thus using 2 devices of 12 millimetres and one of 16 millimetres diameter. An arteriovenous loop was established through the fistula by snaring an exchange guide wire. Using a 7 or 8 French guide catheter inserted through the femoral vein, all plugs were placed at the narrowest segment of the fistula, leading to immediate complete closure of 2 fistulas. The third patient, with a fistula of the circumflex coronary artery, who received the largest plug initially had residual flow, but the fistula was found to be completely occluded at 12 months follow-up examination. We have demonstrated, therefore, safe and effective usage of the new vascular plug for transcatheter closure of moderate- to large-sized coronary arterial fistulas. The plug offers an alternative to cardiac surgery, or occlusion using coils.<\/jats:p>","DOI":"10.1017\/s1047951107000510","type":"journal-article","created":{"date-parts":[[2007,4,20]],"date-time":"2007-04-20T09:09:32Z","timestamp":1177060172000},"page":"283-287","source":"Crossref","is-referenced-by-count":38,"title":["Transcatheter closure of coronary arterial fistulas using the new Amplatzer<sup>\u00ae<\/sup> vascular plug"],"prefix":"10.1017","volume":"17","author":[{"given":"Gunther","family":"Fischer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sotiria C.","family":"Apostolopoulou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spyros","family":"Rammos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Kiaffas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans Heiner","family":"Kramer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2007,4,20]]},"reference":[{"key":"S1047951107000510_ref002","doi-asserted-by":"crossref","unstructured":"Liberthson RR , Sagar K , Berkoben JP , Weintraub RM , Levine FH . 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Heart 2004; 90: 1505\u20131510.","DOI":"10.1136\/hrt.2003.016071"},{"key":"S1047951107000510_ref001","doi-asserted-by":"crossref","unstructured":"Sunder KR , Balakrishnan KG , Tharakan JA , et al. Coronary artery fistula in children and adults: a review of 25 cases with long-term observations. Int J Cardiol 1997; 58: 47\u201353.","DOI":"10.1016\/S0167-5273(96)02792-1"},{"key":"S1047951107000510_ref003","doi-asserted-by":"crossref","unstructured":"Bj\u00f6rck G , Crafoord C . Arteriovenous aneurysm on the pulmonary artery simulating patent ductus arteriosus botalli. Thorax 1947; 2: 65\u201368.","DOI":"10.1136\/thx.2.2.65"},{"key":"S1047951107000510_ref013","doi-asserted-by":"crossref","unstructured":"Boening A , Scheewe J , Fischer G , Cremer J . Surgical therapy of a coronary artery fistula draining into the left atrium. Pediatr Cardiol 2001; 22: 412\u2013414.","DOI":"10.1007\/s002460010265"},{"key":"S1047951107000510_ref008","doi-asserted-by":"crossref","unstructured":"Hill SL , Hijazi ZM , Hellenbrand WE , Cheatham JP . Evaluation of the AMPLATZER vascular plug for embolization of peripheral vascular malformations associated with congenital heart disease. Catheter Cardiovasc Interv 2006; 67: 113\u2013119.","DOI":"10.1002\/ccd.20555"},{"key":"S1047951107000510_ref012","unstructured":"Subramanyam K , Kapoor R , Radhakrishnan S , et al. Use of amplatzer vascular plugs in the closure of coronary arteriovenous fistula. Indian Heart Journal 2005; 57: Abstract No. 231: 288."},{"key":"S1047951107000510_ref007","doi-asserted-by":"crossref","unstructured":"Armsby LR , Keane JF , Sherwood MC , Forbess JM , Perry SB , Lock JE . Management of coronary artery fistulae. Patient selection and results of transcatheter closure. J Am Coll Cardiol 2002; 39: 1026\u20131032.","DOI":"10.1016\/S0735-1097(02)01742-4"},{"key":"S1047951107000510_ref004","doi-asserted-by":"crossref","unstructured":"Reidy JF , Sowton E , Ross DN . Transcatheter occlusion of coronary to bronchial anastomosis by detachable balloon combined with coronary angioplasty at same procedure. Br Heart J 1983; 49: 284\u2013287.","DOI":"10.1136\/hrt.49.3.284"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951107000510","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T22:12:08Z","timestamp":1556748728000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951107000510\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,4,20]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2007,6]]}},"alternative-id":["S1047951107000510"],"URL":"https:\/\/doi.org\/10.1017\/s1047951107000510","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,4,20]]}}}