Congenitally severe tortuous circumflex artery fistula draining into the coronary sinus: Transcatheter closure with Guglielmi detachable coils via different delivery system

WOS: 000270758600021PubMed: 19782273Coronary artery fistulae are very rare congenital anomalies which constitute 0.2-0.4% of all congenital heart diseases. The right chambers of the heart are the most frequent communication site of the coronary fistulae and may cause hemodynamic impairment in the coronary circulation. The fistulae arise frequently from right coronary and left anterior descending arteries. Fistulae from left circumflex artery are very rare. We report a case in which transcatheter embolization was performed with 3-mm Guglielmi detachable coils in a young adult with a rare type of congenital fistula originating from the circumflex artery and draining into the coronary sinus. (C) 2009 Japanese College of Cardiology. Published by Elsevier Ireland Ltd. All rights reserved

Endovascular Treatment of Intracranial Anterior Circulation Aneurysms with Flow Diverters: A Single Centre Experience with mid and long-term results.

We report our experience with flow diverter devices in the treatment of intracranial aneurysms arising from anterior circulation with mid and long-term follow-up

Endovascular Treatment of Intracranial Anterior Circulation Aneurysms with Flow Diverters: A Single Centre Experience with Mid- and Long-Term Results

AIM: We report our experience with flow diverter devices in the treatment of intracranial aneurysms arising from the anterior circulation with mid- and long-term follow-up. MATERIAL and METHODS: Seventy-eight aneurysms in 61 patients (range 25-81 years, 13 male, 48 female) were treated with flow diverter devices. Forty (51.3\%) aneurysms were treated with a pipeline embolization device (PED), 24 (30.8\%) aneurysms were treated with a SILK stent, 12 (15.4\%) aneurysms were treated with a flow redirection endoluminal device (FRED) and two aneurysms were treated with a P64 Flow Modulation Device (P64). Angiographic follow-up data at six months and one year were recorded and the occlusion degrees of the aneurysms were evaluated according to the scale developed by Kamran et al. RESULTS: At six-month follow-up, the complete occlusion (grade 4) rate was 60.8\% and at one-year this rate had increased to 74.3\%. Statistical analysis revealed a significant difference (p=0.002) between six-month and one-year follow-up results but there was no significant association (p=0.531, p=1.000) between aneurysm occlusion rate and aneurysm diameter. Two patients (3.2\%) died due to hemorrhagic complications. CONCLUSION: Endovascular treatment of intracranial anterior circulation aneurysms with flow diverters is a safe and effective treatment option. A high rate of stable occlusion is achieved at long-term follow-up

The position of transarterial chemoembolization with drug-eluting beads and yttrium-90 transarterial radioembolization in patients with hepatocellular carcinoma: Consensus statements from a Delphi-method expert panel in Turkey

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