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Acquired arteriovenous fistula in a child with hemophilia
Helvetica Paediatrica Acta
|December 1, 1984
Insights
Repeated venipunctures in children with hemophilia may lead to iatrogenic arteriovenous fistulas. This case highlights a potential complication in pediatric hemophilia management.
Area of Science:
- Vascular Surgery
- Pediatric Hematology
- Interventional Radiology
Background:
- Hemophilia is a genetic bleeding disorder requiring frequent medical interventions.
- Arteriovenous fistulas (AVFs) are abnormal connections between arteries and veins.
Observation:
- A case report details a 2-year, 9-month-old boy with hemophilia.
- The child developed an arteriovenous fistula in the right cubital fossa.
Findings:
- The arteriovenous fistula was likely iatrogenically induced.
- Repeated venipunctures in hemophiliac children pose a risk for AVF development.
Implications:
- This finding underscores the need for careful venipuncture techniques in hemophiliac children.
- Awareness of this complication is crucial for preventing iatrogenic AVFs in pediatric hemophilia care.
Abstract:
A case of a 2 9/12-year-old hemophiliac boy who acquired an arteriovenous fistula in the right cubital fossa is described. This case shows the possibility that such fistulas can be iatrogenically induced in hemophiliac children subjected to repeated venipunctures.