TY - JOUR T1 - DIAGNOSIS AND ENDOVASCULAR TREATMENT OF AN ARTERIOVENOUS FISTULA IN THE BREAST TT - MEMEDE ARTERİYOVENÖZ FİSTÜL OLGUSUNUN TANI VE ENDOVASKÜLER TEDAVİSİ AU - Cömert, Rana Günöz AU - Çakır, Mehmet Semih AU - Yılmaz, Ravza Sümeyye AU - Emiroğlu, Selman AU - Acunaş, Bülent PY - 2024 DA - January DO - 10.26650/IUITFD.1320684 JF - Journal of Istanbul Faculty of Medicine JO - İst Tıp Fak Derg PB - Istanbul University WT - DergiPark SN - 1305-6441 SP - 95 EP - 100 VL - 87 IS - 1 LA - en AB - 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. KW - Breast KW - arteriovenous fistula KW - Doppler ultrasound KW - magnetic resonance angiography KW - digital angiography KW - endovascular treatment N2 - 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. CR - 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 CR - 2. Rhodes-Wilson M. Arteriovenous Fistula of the Breast. JDMS 2004;20(1):57-61. [CrossRef] google scholar CR - 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 CR - 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 CR - 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 CR - 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 CR - 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 UR - https://doi.org/10.26650/IUITFD.1320684 L1 - https://dergipark.org.tr/en/download/article-file/3235779 ER -