Transcatheter embolization with controlled release coils is a feasible alternative to surgery for treating congenital coronary arteriovenous fistulas in pediatric patients.
Supports feasibility in select pediatric cases; leaves open need for comparative trials before practice change.
The treatment for large congenital coronary cameral fistulas has been surgical but with advances in interventional catheterization techniques transcatheter embolization of these fistulas with coils or detachable balloons is now possible. This report describes occlusion of a congenital coronary arteriovenous fistula in a 6-year-old girl.
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Quek et al. (1996) studied this question.
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