Pediatrics & Therapeutics
Open Access
ISSN: 2161-0665
ISSN: 2161-0665
Research Article
Iatrogenic Vascular Injury: Arteriovenous Fistula in NICU Neonates
Author(s): Keon Kuk Kim, Sang Tae Choi, Jin Mo Kang, YoungSoon Chun, Yoo Seung Chung, Heung Gyu Park, Jun Hyoub Lee, Yeon Ho Park and Young KimKeon Kuk Kim, Sang Tae Choi, Jin Mo Kang, YoungSoon Chun, Yoo Seung Chung, Heung Gyu Park, Jun Hyoub Lee, Yeon Ho Park and Young Kim
Purpose: Invasive treatments have increased the risks of iatrogenic vascular injuries in neonates. Acute complications, such as thrombosis, rupture and pseudoaneurysm, require accurate diagnosis and prompt correction. In arteriovenous fistulas (AVFs) identified in time, some resolve spontaneously whereas others progress and cause major problems; potential growth disturbances and limb discrepancies. The paper is to evaluate the timing of surgery based on considerations of operation risk and expected clinical course in AVF neonates.Methods: We reviewed the charts of 2776 neonates admitted to the neonatal intensive care unit of the Department of Pediatrics of GMC over the 7-year period (Jan 2010-2017).Results: Eight (4 males, 4 females) had vascular lesions (0.29%). Mean gestational age was 196.4 days (range, 179-218 days), m.. View More»
DOI:
10.4172/2161-0665.1000346