EFFICACY OF MAJOR AORTOPULMONARY COLLATERAL ARTERIES COILING IN PATIENTS OF TETRALOGY OF FALLOT

Abstract

Objective: To establish the efficacy of free coils for occlusion of MAPCAs in pre operative and post operative
patients of total correction .
Study Design: Retrospective analytical study.
Place and Duration of Study: Paediatric Cardiology unit, Armed Forces Institute of Cardiology/National
Institute of Heart Diseases Rawalpindi study was carried out from Jan 2015 to Jan 2017.
Material and Methods: A total no of 44 patients were enrolled in this retrospective study. In 40 patients had
MAPCAs coiled in pre operative and 4 patients underwent MAPCAs coiling in postoperative period while
having total correction of TOF. There vital signs, total PICU stay, inotropic support and ventilation time were
monitored in Pediatric Intensive Cardiology Unit (AFIC/NIHD).
Results: All the patients had successful occlusion of MAPCAs in post procedure time. There were n=28 male
patients and n=16 female patients. All patients were cardiac catheterization done prior to total correction.
Cook’s free coils were used for occlusion under sedation and successful outcome documented in form of check
angiogram.
Conclusion: Transcatheter coil occlusion of MAPCAs is effective and hameodynamically beneficial interventional
therapy in patients of total correction for Tetralogy of Fallot.