Öz
Arteriyovenöz fistüller (AVF), arterler ve venler arasında normal kapiller vasküler sistemin olmadığı anormal bağlantılardır. AVF'lerin etiyolojisinde hemodiyaliz için cerrahi planlama, konjenital/sendrom ilişkili durumlar, malignite ve travma ve iatrojenik komplikasyonlar bulunmaktadır. Meme AVF'leri nadirdir ve literatürde bildirilenlerin çoğu biyopsi ile ilişkili edinsel vakalardır. Doksan bir yaşında kadın hastaya radyolojik görüntüleme bulguları ile sağ memede AVF tanısı konuldu ve endovasküler tedavi uygulandı. Olgumuzun anamnezinde AVF etyolojisi bulunamamıştır. Doppler ultrasonografi ve MDCTA-MRA AVF tanısında yol göstericidir. Dijital anjiyografi altın standarttır ve uygun olgularda endovasküler tedavi olanağı sağlamaktadır.
Anahtar Kelimeler
Meme arteriyovenöz fistül Doppler ultrason manyetik rezonans anjiyografi dijital anjiyografi endovasküler tedavi
Destekleyen Kurum
YOK
Kaynakça
- 1. Baleato Gonzâlez S, Vilanova Busquets JC, Garda Figueiras R, Villalba Martın C, Seoane Pose C, Martınez De Alegrîa A et al. Imaging arteriovenous fistulas. AJR. 2009;193(5):1425- 33. [CrossRef] google scholar
- 2. Rhodes-Wilson M. Arteriovenous Fistula of the Breast. JDMS 2004;20(1):57-61. [CrossRef] google scholar
- 3. Li Y, Wu Z, Yan F, Peng Y, Ma L, Zeng G, et al. Pseudoaneurysm associated with arteriovenous fistula involving a superficial breast arteriole after vacuum-assisted removal of a benign mass: A case report. Medicine (Baltimore) 2018;97(36):e12250. [CrossRef] google scholar
- 4. Joseph KA, Ditkoff BA, Komenaka I, Mercado CL, Millman SL, Lantis J, et al. Acquired Arteriovenous Fistula of the Breast Breast J 2004;10(2):156-8. [CrossRef] google scholar
- 5. Gregg A, Leddy R, Lewis M, Irshad A. Acquired arteriovenous fistula of the breast following ultrasound-guided biopsy of invasive ductal carcinoma. J Clin Imaging Sci 2013;3:38. [CrossRef] google scholar
- 6. Yanagisawa W, Sedaghat N, Gordon-Thomson D. Endovascular management of iatrogenic arteriovenous fistula of the breast. Breast J 2021;27(1):52-5. [CrossRef] google scholar
- 7. Eli E, Ansari H, Williams J, Carter M, Friedman P. Successful treatment of a two-centimeter breast pseudoaneurysm with thrombin injection. Breast J 2012;18(3):292-3. [CrossRef] google scholar
Öz
Arteriovenous fistulas (AVF) are abnormal connections between the arteries and veins in the absence of normal capillaries. The etiology of AVFs includes surgical planning for hemodialysis, congenital/syndrome related conditions, malignancy and trauma, and iatrogenic complications. Breast AVFs are rare, and most of those reported in the literature are biopsy-related acquired cases. A 91-year-old female patient was diagnosed with AVF in the right breast via radiological imaging findings and underwent endovascular treatment. The AVF could not be associated with any acquired etiology. Doppler ultrasonography and MDCTA-MRA are guides for the diagnosis of AVF. Digital angiography is both the gold standard in diagnosis and can be used for endovascular treatment in suitable cases.
Anahtar Kelimeler
Breast arteriovenous fistula Doppler ultrasound magnetic resonance angiography digital angiography endovascular treatment
Kaynakça
- 1. Baleato Gonzâlez S, Vilanova Busquets JC, Garda Figueiras R, Villalba Martın C, Seoane Pose C, Martınez De Alegrîa A et al. Imaging arteriovenous fistulas. AJR. 2009;193(5):1425- 33. [CrossRef] google scholar
- 2. Rhodes-Wilson M. Arteriovenous Fistula of the Breast. JDMS 2004;20(1):57-61. [CrossRef] google scholar
- 3. Li Y, Wu Z, Yan F, Peng Y, Ma L, Zeng G, et al. Pseudoaneurysm associated with arteriovenous fistula involving a superficial breast arteriole after vacuum-assisted removal of a benign mass: A case report. Medicine (Baltimore) 2018;97(36):e12250. [CrossRef] google scholar
- 4. Joseph KA, Ditkoff BA, Komenaka I, Mercado CL, Millman SL, Lantis J, et al. Acquired Arteriovenous Fistula of the Breast Breast J 2004;10(2):156-8. [CrossRef] google scholar
- 5. Gregg A, Leddy R, Lewis M, Irshad A. Acquired arteriovenous fistula of the breast following ultrasound-guided biopsy of invasive ductal carcinoma. J Clin Imaging Sci 2013;3:38. [CrossRef] google scholar
- 6. Yanagisawa W, Sedaghat N, Gordon-Thomson D. Endovascular management of iatrogenic arteriovenous fistula of the breast. Breast J 2021;27(1):52-5. [CrossRef] google scholar
- 7. Eli E, Ansari H, Williams J, Carter M, Friedman P. Successful treatment of a two-centimeter breast pseudoaneurysm with thrombin injection. Breast J 2012;18(3):292-3. [CrossRef] google scholar
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Hizmetleri ve Sistemleri (Diğer) |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Ocak 2024 |
| Gönderilme Tarihi | 4 Temmuz 2023 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 87 Sayı: 1 |
Kaynak Göster
Contact information and address
Addressi: İ.Ü. İstanbul Tıp Fakültesi Dekanlığı, Turgut Özal Cad. 34093 Çapa, Fatih, İstanbul, TÜRKİYE
Email: itfdergisi@istanbul.edu.tr
Phone: +90 212 414 21 61