Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492006000200013
Jornal Vascular Brasileiro
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Tratamento endovascular de pseudo-aneurisma da artéria subclávia em criança hemofílica

Endovascular treatment of subclavian artery pseudoaneurysm in a hemophiliac child

Emanuella Galvão de Sales e Silva; Ricardo Wagner da Costa Moreira; Elias Arcenio Neto; Camila de Campos Silva; Charles Edouard Zurstrassen; Flávio Roberto Cavalleiro de Macedo Ribeiro; Orlando da Costa Barros; Marcelo Calil Burihan; Felipe Nasser; José Carlos Ingrund; Adnan Neser

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Resumo

O uso de cateteres venosos centrais em pacientes hemofílicos é muito freqüente, devido às próprias características terapêuticas da doença. As complicações desses procedimentos, tais como pseudo-aneurisma, geralmente são mais graves nesses pacientes. A correção cirúrgica do pseudo-aneurisma que acomete a artéria subclávia constitui um dos maiores desafios da cirurgia vascular. Em pacientes hemofílicos, à dificuldade habitual de exposição cirúrgica somam-se os problemas de alteração no processo normal de coagulação. Como alternativa ao tratamento cirúrgico convencional, a utilização de técnicas endovasculares constitui uma solução segura e com bons resultados.

Palavras-chave

Falso aneurisma, angioplastia, hemofilia

Abstract

The placement of central venous catheters in hemophiliac patients is very frequent, due to the specific treatment characteristics of the disease. The complications of these procedures, such as pseudoaneurysm, are generally worse in such patients. Surgical treatment of subclavian artery pseudoaneurysm is known to be one of the greatest surgical challenges in vascular surgery. In hemophiliac patients, the alterations in the normal cascade of coagulation are added to the difficult surgical exposure. As an alternative to the usual surgical treatment, the use of endovascular techniques is a safe method and has good outcomes.

Keywords

Aneurysm, false, angioplasty, hemophilia

Referências

Brettler DB, Levine PH. Clinical manifestations and therapy of inherited coagulation factors deficiencies. Hemostasis and thrombosis: basic principles and clinical practice. 1994:169-83.

Rodgers GM, Greenberg CS. Inherited coagulation disorders. Wintrobe's Clinical Hematology. 1999:1682-732.

Domm JA, Hudson MG, Janco RL. Complications of central venous access devices in paediatric haemophilia patients. Haemophilia. 2003;9:50-6.

Morado M, Jimenez-Yuste V, Villar A. Complications of central venous catheters in patients with haemophilia and inhibitors. Haemophilia. 2001;7:551-6.

Tarantino MD, Lail A, Donfield SM. Surveillance of infectious complications associated with central venous access devices in children with haemophilia. Haemophilia. 2003;9:588-92.

Casado-Flores J, Barja J, Martino R, Serrano A, Valdivielso A. Complications of central venous catheterization in critically in children. Pediatr Crit Care Med.. 2001;2:57-62.

Ruesch S, Walder B, Tramer MR. Complications of central venous catheters: internal jugular versus subclavian access: a systematic review. Crit Care Med.. 2002;30:454-60.

Lassance P, Neto AS, Néri EM. Cateterizações em pediatria. Tubos, sondas e drenos. 2000:57-65.

Ewestein BM, Valentino LA, Journeycake JM. Consensus recommendations for use of central venous access devices haemophilia. Haemophilia. 2004;10:629-48.

Peces R, Navascues RA, Baltar J, Laures AS, Alvarez-Grande J. Pseudoaneurysm of the thyrocervical complicating percutaneous internal jugular-vein catheterization for hemodialysis. Nephrol Dial Transplant.. 1998;13:1009-11.

Akgun S, Civelek A, Baltacioglu F, Ekici G. Successful endovascular repair of a subclavian artery pseudoaneurysm. Nephrol Dial Transplant.. 1999;14:2219-21.

Criado E, Martson WA, Ligush J, Mauro MA, Keagy BA. Endovascular repair of peripheral aneurysms, pseudoaneurysms, and arteriovenous fistulas. Ann Vasc Surg.. 1997;11:253-63.

Pelchovitz DJ, Cahill AM, Baskin KM, Kaye RD, Towbin RB. Pseudoaneurysm in children: diagnosis and interventional management. Pediatr Radiol.. 2005;35:434-9.

Liddell RP, Patel S, Neuwirth M, Hebert J, Arepally A, Hofmann LV. Transcatheter coil embolization of large pulmonary artery pseudoaneurysm in a child. J Vasc Interv Radiol.. 2003;14:923-7.

Celiker A, Bilgic A, Karagoz T, Pac A. Endovascular stent implantation in congenital heart defects. Turk J Pediatr.. 2001;43:59-64.

Pass RH, Hsu DT, Garabedian CP, Schiller MS, Jayakumar KA, Hellenbrand WE. Endovascular stent implantation in the pulmonary arteries of infants and children without the use of a long vascular sheath. Catheter Cardiovasc Interv.. 2002;55:505-9.

Okubo M, Benson LN. Intravascular and intracardiac stents used in congenital heart disease. Curr Opin Cardiol.. 2001;16:84-91.

Merrot T, Portier F, Galinier P. Trauma of the renal pedicle in children: Report of 2 cases of late revascularization with endovascular prosthesis. Prog Urol.. 2000;10:277-81.

Mayer SA, Brun NC, Begtrup K. Recombinant activated factor VII for acute intracerebral hemorrhage. N Engl J Med.. 2005;352:777-85.

Arkin S, Cooper HA, Hutter JJ. Activated recombinant human coagulation factor VII therapy for intracranial hemorrhage in patients with hemophilia A or B with inhibitors: Results of the NovoSeven emergency-use program. Haemostasis. 1998;28:93-8.

Rice KM, Savidge GF. NovoSeven (recombinant factor VIIa) in centeral nervous systems bleeds. Haemostasis. 1996;26(1):131-4.

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