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Successful embolisation of coronary artery fistulas with the Azur® CX peripheral coil system in three paediatric patients

Published online by Cambridge University Press:  24 February 2025

Emine Gulsah Torun*
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Ankara Bilkent City Hospital, Cankaya, Ankara, Turkey
Utku Pamuk
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Ankara Bilkent City Hospital, Cankaya, Ankara, Turkey
Velihan Çayhan
Affiliation:
Department of Radiology, University of Health Sciences, Ankara Bilkent City Hospital, Cankaya, Ankara, Turkey
Hazım Alper Gürsu
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Ankara Bilkent City Hospital, Cankaya, Ankara, Turkey
*
Corresponding author: E.G.Torun; Email: drgtorun@gmail.com

Abstract

Coronary artery fistulas are rare cardiac anomalies, often asymptomatic and frequently discovered incidentally during routine cardiac imaging. Transcatheter closure with coil embolisation is increasingly recognised as a preferable alternative to surgical intervention due to its lower complication rates. In this report, we present three paediatric cases in which coronary artery fistulas were successfully embolised using the Azur® CX Peripheral Coil System. This system demonstrates low-profile suitability for occluding highly tortuous vessels in children, enabling controlled coil delivery via a microcatheter. Its hydrogel-coated coils allow for expansion between gaps, making it highly effective as a minimally invasive treatment.

Type
Brief Report
Copyright
© The Author(s), 2025. Published by Cambridge University Press

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