medigraphic.com

2013, Number 2

<< Back Next >>

Revista Cubana de Angiología y Cirugía Vascular 2013; 14 (2)

Surgery of the arteriovenous fistula of the hand

Hondares GMC, Hernández SA, Cabrera ZJL, Viñas CH, Licort GE, López DM

Language: Spanish
References: 17
Page:
PDF size: 117.32 Kb.


ABSTRACT

Arteriovenous fistula is the abnormal communication between an artery and a vein with blood return to the cardiac cavities without passing through the capillary bed. The objective of this work is to describe the characteristics of the arteriovenous fistula of the hand. Two patients who were admitted to the Arteriology Service of the National Institute of Angiology and Vascular Surgery in the year 2012 with antecedents of this disease were studied. On physical examination, the presence of a round shape tumor in the back of the hand was confirmed. The confirmatory diagnosis of arteriovenous fistula was given by eco-doppler color, CT angiography and surgery. This last procedure was initiated, in both cases, by approaching the humeral artery over the elbow flexure to control, if it occurred, some distal bleeding of the ulnar artery. In the first case, besides the tumor, there was an arteriovenous communication with the basilic vein, multiple arteriovenous communications in the hypothenar area and areas of micro fistulas. In the second case, there was an arteriovenous aneurism of the superficial palmar arch with vessels of the radial and cubital artery. The patients evolved favorably, they were discharged from hospital at the third day of the postoperative phase, and reincorporated to work in two months. Arteriovenous fistula is a disease that has peculiar characteristics which diagnosis, treatment and evolution depend on its anatomic location and clinical stage. An early diagnosis and an appropriate treatment will afford satisfactory results.


REFERENCES

  1. Guzmán Mora F, Vargas Vélez F, Ramírez Cabrera J. Manejo general del trauma Vascular. Guías para manejo de urgencias. 2000;30(2):308-15.

  2. Torres CSA. Trauma vascular de las extremidades y un poco de su historia. Trauma. 2006;9(3):83-6.

  3. Pastor GM, Rivera MR, Marzo AA, Marco ML. Traumatismos vasculares de los miembros, diagnóstico y tratamiento actual. Angiología. 2007;59(supl 2):S39-S52.

  4. Otero Reyes M, González Escalona D, Duménigo Arias O, Gordis Aguilera MV. Fístula arteriovenosa postraumática. A propósito de un caso. Medisur 2010 [citado 8 Ene 2011];8(2). Disponible en: http://www.scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727- 897X2010000200013&lng=es

  5. Llanio Navarro R. Propedéutica clínica y fisiopatología. La Habana: Editorial Pueblo y Educación; 1983.

  6. Rodríguez AP, Arroyo F, Franco CA, Lechter A, Mejía F, Gómez JC. Manejo de las fístulas arteriovenosas traumáticas en el Hospital Central de Bogotá, Colombia. Ann MedMex. 2008;53(2):74-80.

  7. Santacruz AT, Franco RD, Rosas AC. Trauma vascular: 25 años de experiencia en Aguascalientes. México. CirCiruj. 2008;76(5):367-72. Disponible en: http://www.redalyc.uaemex.mx/pdf/662/66276502.pdf

  8. Galambos B, Tamas L, Zsoldos P, Czigany T, Jakab L, Nemeth J, et al. Vascular injuries in every day practice. ZentralblChir. 2004;129(2):81-6.

  9. Aucar JA, Hirshberg A. Damage control for vascular injuries. SurgClin North Am. 1997 A;77(4):853-62.

  10. Gutiérrez CAR, Sánchez FC, Sigler ML, Gutiérrez CA, González CL, Enríquez VE, et al. Trauma vascular con fístulas arteriovenosas. Rev Mexicana Angiol. 2007;35(4):190- 7.

  11. Rozycki GS, Tremblay LN, Feliciano DV, McClelland WB. Blunt trauma in the extremity: diagnosis, management, and outcome. J Trauma. 2003;55(5):814-24.

  12. Frías Méndez E. Traumatismos vasculares: Clasificación, Diagnóstico, Tratamiento. Rev Cubana Cir. 2006 [citado 1Mar 2013];45(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 74932006000200014&lng=es

  13. Martin AT. Traumatismos vasculares periféricos. RevMedUniv Navarra. 2005;49(2):24-31.

  14. Soto SG, Sánchez GC, Brousse JM, Sánchez AH. Trauma vascular periférico. Cuad Cir. 2004;18(1):91-7.

  15. Garzón GM, Riera LM, Gutiérrez MN, Riera LC, Fernández AH, Mendieta CA, et al. Tratamiento endovascular de fístula arterio venosa y falso aneurisma poplíteos postraumáticos. Presentación de un caso. Angiología. 2006;58(4):325-9.

  16. Compton C, Rhee R. Peripheral vascular trauma. PerpesctVascSurgEndovascTher. 2005;17(4):297-307.

  17. Nazario Dolz AM, Ibáñez Casero M, Rodríguez Fernández Z, Pichín Quesada A, López Martín JC. Fístula arterio-venosa subclavia traumática en un adulto joven. MediSAN. 2011[citado 8 Mar 2013];15(6):835-9. Disponible en:http://www.bvs.sld.cu/revistas/san/vol_15_6_11/san16611.htm




2020     |     www.medigraphic.com