Off‐label use of the amplatzer ductal occluder II additional size for percutaneous closure of congenital and acquired coronary fistulae

Abstract

We report two cases in which congenital and acquired fistulae (CAFs) have been successfully closed by using the Amplatzer Ductal Occluder (ADO) II AS in children. Because of the flexibility, small profile and short length of ADO II AS, this device proved to be an excellent option in case of tortuous and short CAFs with coronary branches next to the fistulous orifice. © 2015 Wiley Periodicals, Inc.

Transcatheter closure of a rare coronary artery fistula using a modified mother–child technique

“…[11] To the best of our knowledge, there is only one published manuscript describing the use of the ADO II AS for CAF closure in two children. [12] The present case reports a tortuous fistula successfully closed using ADO II AS, thus confirming its effectiveness, particularly when coronary side branches are adjacent to the fistulous orifice. [12]…”

“…[12] The present case reports a tortuous fistula successfully closed using ADO II AS, thus confirming its effectiveness, particularly when coronary side branches are adjacent to the fistulous orifice. [12]…”

Off‐label use of the amplatzer ductal occluder II additional size for percutaneous treatment of acute aortic occlusion in a baby

“…However, its characteristics make this device particularly versatile and useful for several pathological conditions of small children and in fragile vascular districts. We have already used the device to occlude coronary fistulae in children in the past . When the device is used as a “removal tool,” we recommend that each time the device is removed from the body and the sheath is washed, the operator should make sure the device is tightly screwed onto the cable, and has not become accidentally partly unscrewed during the manipulations in the body and in and out of the sheath.…”