Key result
Transcatheter occlusion using a detachable balloon combined with coronary angioplasty successfully occluded a large coronary to bronchial anastomosis, remaining intact at 7 months.
Why the study?
Can transcatheter occlusion using a detachable balloon combined with coronary angioplasty successfully treat a coronary to bronchial anastomosis and concurrent LAD stenosis?
Case Report (n=1)
Can transcatheter occlusion using a detachable balloon combined with coronary angioplasty successfully treat a coronary to bronchial anastomosis and concurrent LAD stenosis?
This case report demonstrates the feasibility of non-operative transcatheter occlusion of a coronary to bronchial anastomosis using a detachable balloon alongside coronary angioplasty.
Answers are grounded in this paper and cite their sources.
Detachable balloon occlusion appears feasible for coronary-bronchial anastomoses; leaves open its safety and role pending controlled studies.
The first case of non-operative occlusion of a large coronary to bronchial anastomosis is described. The patient who had severe angina had also a critical stenosis of the anterior descending coronary artery which was successfully dilated by an angioplasty procedure. An occluding balloon was detached in the large distal circumflex coronary artery, beyond all the normal branches. At a repeat catheterisation study seven months later the balloon was intact and in position, and the anastomosis remained occluded.
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Reidy et al. (1983) conducted a case report in Severe angina with large coronary to bronchial anastomosis and critical stenosis of the anterior descending coronary artery (n=1). Transcatheter occlusion by detachable balloon combined with coronary angioplasty was evaluated on Occlusion of anastomosis and balloon position. Transcatheter occlusion using a detachable balloon combined with coronary angioplasty successfully occluded a large coronary to bronchial anastomosis, remaining intact at 7 months.
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