Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492006000200013
Jornal Vascular Brasileiro
Case Report

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

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