{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T12:33:02Z","timestamp":1770985982509,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,1,28]],"date-time":"2014-01-28T00:00:00Z","timestamp":1390867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2014,4]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Transcatheter closure of coronary arterial fistula (CAF<\/jats:styled-content>) is being utilized increasingly as an alternative to surgical closure, but most of the literature on transcatheter closure of CAF<\/jats:styled-content> in children and adolescents consists of case reports and reports of small series. The aim of this study was therefore to describe our experience of percutaneous closure of CAF<\/jats:styled-content> in children and adolescents.<\/jats:p><\/jats:sec>Methods<\/jats:title>Between A<\/jats:styled-content>pril 1998 and D<\/jats:styled-content>ecember 2012, 37 children and adolescents with congenital CAF<\/jats:styled-content> underwent percutaneous transcatheter closure. After aortic root angiography and selective coronary angiography, a guidewire was positioned to the fistula. In some cases, an arteriovenous wire loop (AV<\/jats:styled-content> loop) was created. The sheath passed along the wire to the site of the desired occlusion of the fistula. One or more occlusion devices were selected to embolize the fistula.<\/jats:p><\/jats:sec>Results<\/jats:title>Occlusion devices were placed in 33 procedures (32 patients). Occlusion was unsuccessful in five patients. Duct occluders were placed in 12 procedures, coils in 11 (10 patients), muscular ventricular septal occluders in six, and vascular plugs in four procedures. The tricuspid valve was injured in two patients. One patient with a giant CAF<\/jats:styled-content> aneurysm had a thrombosis within the aneurysm after transcatheter closure. There were no deaths, fistula dissection or myocardial infarction.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Transcatheter closure of CAF<\/jats:styled-content> is feasible in anatomically suitable cases, but injury to the tricuspid valve involved with AV<\/jats:styled-content> loop methods can occur in closure procedures, and thrombus formation is possible in the blind pouch of the residual fistula after closure. Long\u2010term follow up after fistula closure is necessary.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.12230","type":"journal-article","created":{"date-parts":[[2013,10,15]],"date-time":"2013-10-15T16:09:18Z","timestamp":1381853358000},"page":"173-179","source":"Crossref","is-referenced-by-count":12,"title":["Transcatheter closure of coronary arterial fistula in children and adolescents"],"prefix":"10.1111","volume":"56","author":[{"given":"Shu\u2010Shui","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology Guangdong Cardiovascular Institute Guangdong Academy of Medical Science\/Guangdong General Hospital Guangzhou Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi\u2010Wei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Guangdong Cardiovascular Institute Guangdong Academy of Medical Science\/Guangdong General Hospital Guangzhou Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming\u2010Yang","family":"Qian","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Guangdong Cardiovascular Institute Guangdong Academy of Medical Science\/Guangdong General Hospital Guangzhou Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Zhuang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Guangdong Cardiovascular Institute Guangdong Academy of Medical Science\/Guangdong General Hospital Guangzhou Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guo\u2010Hong","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Guangdong Cardiovascular Institute Guangdong Academy of Medical Science\/Guangdong General Hospital Guangzhou Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,1,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-5273(96)02792-1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(98)00878-9"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2002.05.001"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2009.00301.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.49.3.284"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.03.014"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S104795111000137X"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21830"},{"key":"e_1_2_6_10_1","first-page":"822","article-title":"Transcatheter closure of coronary artery fistula in children","volume":"123","author":"Xu L","year":"2010","journal-title":"Chin. 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