Erdem SİLİSTRELİ, Ünal AÇIKEL, Özalp KARABAY, Göksel KILCI, Cenk ERDAL

Çocuklarda arteriyovenöz fistüle bağlı gelişen venöz anevrizmaların cerrahi onarımı

Pediatrik böbrek yetmezlikli olgularda, hemodiyaliz programının başarısı iyi bir vasküler yolun varlığına bağlıdır. Çocuklarda hemodiyaliz için seçilen vasküler yolların sonuçları ve komplikasyonları erişkinlerdeki vasküler girişimsel yöntemlerle benzerlik göstermektedir. İki pediatrik hemodiyaliz olgusunda arteriyovenöz fistüle ikincil gelişen venöz anevrizma saptadık. Hastalar kolda ağrı, şişme ve dolaşım bozukluğu yakınmasıyla başvurdu. Fistüle ikincil venöz anevrizma erişkinlerde olduğu gibi, gelişebilecek komplikasyonların önlenmesi ve yakınmaların giderilmesi için erken dönem cerrahi yaklaşımla düzeltildi.

Surgical repair of venous aneurysm secondary to arteriovenous fistula in children

Succes of hemodialysis program in pediatric cases depends on a good working vascular access. Results and complications of vascular access in children are similar with invasive vascular intervention in adults. We detected venous aneurysms secondary to arteriovenous fistula in our two pediatric cases. Two cases in pediatric age group with venous aneurysm secondary to arteriovenous fistula which are rarely seen in this age group were admitted to our clinic with complaints of pain, swelling and ischemia on arm. We repaired surgically venous aneurysm secondary to arteriovenous fistula in pediatric age group at early phase like in adults; for relief of complaints and preventing possible complications.

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