Novel strategy in endovascular treatment of coronary steal using histoacryl®
Background: Coronary steal is an often encountered clinical condition attributable to multiple etiologies. Diverse treatment modalities have been previously elucidated. Aim: To elucidate the potential role of interventional approach using N-butyl Cyanoacrylate (Histoacryl®) to treat coronary steal....
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2016-12-01
|
| Series: | The Egyptian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S111026081630014X |
| _version_ | 1818214373511921664 |
|---|---|
| author | Tarek A.N. Ahmed Ayman K.M. Hassan Moustafa H.M. Othman Hosam Hasan-Ali Salwa R. Dimitry Yehia T. Kishk |
| author_facet | Tarek A.N. Ahmed Ayman K.M. Hassan Moustafa H.M. Othman Hosam Hasan-Ali Salwa R. Dimitry Yehia T. Kishk |
| author_sort | Tarek A.N. Ahmed |
| collection | DOAJ |
| description | Background: Coronary steal is an often encountered clinical condition attributable to multiple etiologies. Diverse treatment modalities have been previously elucidated.
Aim: To elucidate the potential role of interventional approach using N-butyl Cyanoacrylate (Histoacryl®) to treat coronary steal.
Material and methods: We present four patients with coronary steal due to different causes. Three patients had coronary arterial fistulas, and the fourth patient underwent prior Coronary Artery Bypass Graft (CABG) surgery with a patent unligated Left Internal Mammary Artery (LIMA) side-branch. We report the attempted trans-catheter closure of the fistulas and LIMA side-branch using n-butyl cyanoacrylate as an embolic agent.
Results: In our series, Coronary angiography was the imaging modality used for diagnosing and guiding the treatment of all cases. Multi-detector CT was used to track the pathway and termination of the fistula in one case only. From the three fistula cases, two originated from the left anterior descending (LAD) coronary artery and one from the left circumflex (LCX) coronary artery. We accomplished successful occlusion in two of the three fistula cases and in the LIMA side-branch case as well.
Conclusion: N-butyl Cyanoacrylate (Histoacryl®) is a useful interventional embolic agent that could be used to treat coronary steal of diverse etiology. |
| first_indexed | 2024-12-12T06:19:09Z |
| format | Article |
| id | doaj.art-fe006113f04f4eb5878edddebaa61dca |
| institution | Directory Open Access Journal |
| issn | 1110-2608 |
| language | English |
| last_indexed | 2024-12-12T06:19:09Z |
| publishDate | 2016-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj.art-fe006113f04f4eb5878edddebaa61dca2022-12-22T00:34:57ZengSpringerOpenThe Egyptian Heart Journal1110-26082016-12-0168426126910.1016/j.ehj.2016.09.002Novel strategy in endovascular treatment of coronary steal using histoacryl®Tarek A.N. Ahmed0Ayman K.M. Hassan1Moustafa H.M. Othman2Hosam Hasan-Ali3Salwa R. Dimitry4Yehia T. Kishk5Department of Cardiovascular Medicine, Assiut University Hospital, Assiut, EgyptDepartment of Cardiovascular Medicine, Assiut University Hospital, Assiut, EgyptDepartment of Radiology, Assiut University Hospital, Assiut, EgyptDepartment of Cardiovascular Medicine, Assiut University Hospital, Assiut, EgyptDepartment of Cardiovascular Medicine, Assiut University Hospital, Assiut, EgyptDepartment of Cardiovascular Medicine, Assiut University Hospital, Assiut, EgyptBackground: Coronary steal is an often encountered clinical condition attributable to multiple etiologies. Diverse treatment modalities have been previously elucidated. Aim: To elucidate the potential role of interventional approach using N-butyl Cyanoacrylate (Histoacryl®) to treat coronary steal. Material and methods: We present four patients with coronary steal due to different causes. Three patients had coronary arterial fistulas, and the fourth patient underwent prior Coronary Artery Bypass Graft (CABG) surgery with a patent unligated Left Internal Mammary Artery (LIMA) side-branch. We report the attempted trans-catheter closure of the fistulas and LIMA side-branch using n-butyl cyanoacrylate as an embolic agent. Results: In our series, Coronary angiography was the imaging modality used for diagnosing and guiding the treatment of all cases. Multi-detector CT was used to track the pathway and termination of the fistula in one case only. From the three fistula cases, two originated from the left anterior descending (LAD) coronary artery and one from the left circumflex (LCX) coronary artery. We accomplished successful occlusion in two of the three fistula cases and in the LIMA side-branch case as well. Conclusion: N-butyl Cyanoacrylate (Histoacryl®) is a useful interventional embolic agent that could be used to treat coronary steal of diverse etiology.http://www.sciencedirect.com/science/article/pii/S111026081630014XN-butyl cyanoacrylate (NBCA)HistoacrylCoronary stealCoronary fistulaLIMA side-branch |
| spellingShingle | Tarek A.N. Ahmed Ayman K.M. Hassan Moustafa H.M. Othman Hosam Hasan-Ali Salwa R. Dimitry Yehia T. Kishk Novel strategy in endovascular treatment of coronary steal using histoacryl® The Egyptian Heart Journal N-butyl cyanoacrylate (NBCA) Histoacryl Coronary steal Coronary fistula LIMA side-branch |
| title | Novel strategy in endovascular treatment of coronary steal using histoacryl® |
| title_full | Novel strategy in endovascular treatment of coronary steal using histoacryl® |
| title_fullStr | Novel strategy in endovascular treatment of coronary steal using histoacryl® |
| title_full_unstemmed | Novel strategy in endovascular treatment of coronary steal using histoacryl® |
| title_short | Novel strategy in endovascular treatment of coronary steal using histoacryl® |
| title_sort | novel strategy in endovascular treatment of coronary steal using histoacryl r |
| topic | N-butyl cyanoacrylate (NBCA) Histoacryl Coronary steal Coronary fistula LIMA side-branch |
| url | http://www.sciencedirect.com/science/article/pii/S111026081630014X |
| work_keys_str_mv | AT tarekanahmed novelstrategyinendovasculartreatmentofcoronarystealusinghistoacryl AT aymankmhassan novelstrategyinendovasculartreatmentofcoronarystealusinghistoacryl AT moustafahmothman novelstrategyinendovasculartreatmentofcoronarystealusinghistoacryl AT hosamhasanali novelstrategyinendovasculartreatmentofcoronarystealusinghistoacryl AT salwardimitry novelstrategyinendovasculartreatmentofcoronarystealusinghistoacryl AT yehiatkishk novelstrategyinendovasculartreatmentofcoronarystealusinghistoacryl |