{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T03:25:38Z","timestamp":1793762738904,"version":"4.6.1"},"reference-count":7,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":61,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":61,"URL":"https:\/\/www.cambridge.org\/tdm\/tdmrep-policy.json"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951126123853_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Coronary\u2013pulmonary artery fistulas (CPAF)\u00a0are rare anomalies that may cause coronary steal and clinical symptoms. Coil embolisation is often effective, but residual flow can persist in large fistulas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126123853_as2\">\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 70-year-old male with coronary artery disease underwent coil embolisation for a right coronary\u2013pulmonary artery fistula. Residual flow persisted, leading to exertional dyspnoea. Coronary angiography confirmed incomplete closure. Since a vascular plug was unavailable, a closed-loop balloon-stent technique was performed with guideliner support, achieving complete occlusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126123853_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The fistula was successfully closed, eliminating the pathological connection. At 6-month follow-up, dyspnoea had resolved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126123853_as4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This case highlights the limitations of coil embolisation in large CPAF and demonstrates the safety and efficacy of a guideliner-assisted closed-loop balloon-stent technique as a practical alternative when plugs are unavailable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951126123853","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T03:14:38Z","timestamp":1790824478000},"page":"1741-1744","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Intervention with a handmade closed-loop balloon stent for a pulmonary artery fistula not closed by coil"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4485-5508","authenticated-orcid":false,"given":"Rukiye","family":"G\u00f6nen \u00d6zdemir","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01zhwwf82","id-type":"ROR","asserted-by":"publisher"}],"name":"K\u0131r\u0131kkale University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c7a\u011flar","family":"Alp","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01zhwwf82","id-type":"ROR","asserted-by":"publisher"}],"name":"K\u0131r\u0131kkale University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"S1047951126123853_ref3","first-page":"E453","article-title":"Embolization of a complex coronary to pulmonary artery fistula using balloon assisted liquid embolic injection: a novel technique","volume":"92","author":"Jagadeesan","year":"2018","journal-title":"Catheter Cardio Inte"},{"key":"S1047951126123853_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2021.11.031"},{"key":"S1047951126123853_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.06.038"},{"key":"S1047951126123853_ref6","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2020-234698"},{"key":"S1047951126123853_ref2","first-page":"1","article-title":"Successful percutaneous closure of a complex coronary-to-pulmonary artery fistula using a detachable balloon: benefits of intra-procedural physiologic and angiographic assessment","volume":"23","author":"Doorey","year":"1991","journal-title":"Catheter Cardiovasc Diagn"},{"key":"S1047951126123853_ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-025-03724-7"},{"key":"S1047951126123853_ref7","doi-asserted-by":"publisher","DOI":"10.1002\/pul2.12160"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951126123853","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951126123853","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T02:31:47Z","timestamp":1793759507000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951126123853\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":7,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S1047951126123853"],"URL":"https:\/\/doi.org\/10.1017\/s1047951126123853","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}