Transcatheter Closure of Large Coronary-Cameral Fistulas Using the Patent Ductus Arteriosus Occluder or Amplatzer Vascular Plugs

Efficacy, Safety and Characteristics of the Amplatzer Vascular Plug II and IV Utilization for Various Percutaneous Occlusions in Children under 10 Years

“…In our experience, AVP II and IV offer excellent paediatric "off-label" alternatives for closure of surgical conduits, aorto-pulmonary collaterals, arterio-venous fistulae, acquired veno-venous communications, sequestration closure, and other miscellaneous lesions [5,8,11,12,15,19]. We also underline that AVP IV seems to be a safe alternative for large CAF occlusions in low-weight infants, even if CAF closure in adults and children offer variable results [6][7]20,28,29]. Finally, despite some limited experience with various VSD types, we observe that both AVP devices could be effective in percutaneous VSD closure [25,26].…”

“…A few years later, the highly flexible AVP IV was developed for the adult peripheral vascular structure. The AVP IV (4 to 8 mm; length of 10 to 13.5 mm delivery catheter, 4 to 5 Fr) is adequate for highly tortuous vessels of less than 6 mm in diameter [16,20,21]. Both AVP II and IV are easily re-sheathable and repositionable after partial or complete deployment until best possible position is obtained for optimal release.…”

“…Santa Clara, California, 95054 USA) remain frequently used "off-label" in the paediatric population [6][7][8][9][10][11][12][13]. To the exception of PDA closures [13,14], published data on AVP II and IV use in children and infants remain scarce, particularly in regard to the heterogeneity of procedures and outcomes [15][16][17][18][19][20]. The aim of this study is to describe the efficacy, safety, and characteristics of AVP II and IV "off-label" paediatric utilization for various percutaneous vascular occlusions, including very large tubular PDAs, in children under 10 years.…”

Transcoronary sinus repair of a severely dilated and tortuous right coronary artery fistulized to coronary sinus complicated with tricuspid valve insufficiency

“…Careful evaluation of tricuspid valve function should be needed during the long-term follow up. Since the patient is young, it is reasonable that interventional closure of residual fistula after carefully evaluation, for avoiding long-term complications of coronary sinus residual fistula: MI, thrombosis, arrhythmias, cardiomyopathy [ 6 ].…”

“…Careful evaluation of tricuspid valve function should be needed during the long-term follow up. Since the patient is young, it is reasonable that interventional closure of residual fistula after carefully evaluation, for avoiding long-term complications of coronary sinus residual fistula: MI, thrombosis, arrhythmias, cardiomyopathy [6]. • support for research data, including large and complex data types • gold Open Access which fosters wider collaboration and increased citations maximum visibility for your research: over 100M website views per year…”