DIAGNOSIS AND ENDOVASCULAR TREATMENT OF AN ARTERIOVENOUS FISTULA IN THE BREAST

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

MEMEDE ARTERİYOVENÖZ FİSTÜL OLGUSUNUN TANI VE ENDOVASKÜLER TEDAVİSİ

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

Kaynakça

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