ÖZET

Amaç:

Bu çalışmada kalp cerrahisi geçiren pediatrik hastalarda ultrasonografi (USG) rehberliği ile bilateral internal juguler ven (IJV), karotis arter (CA), femoral ven (FV) ve femoral arterin (FA) anatomik olarak değerlendirilmesi amaçlanmıştır.

Yöntemler:

Yetmiş sekiz hastayı içeren retrospektif bir çalışma dizayn edildi. Hastalar beş farklı yaş kategorisine ayrıldı (0-1 ay, 1-6 ay, 6-12 ay, 12-24 ay ve >24 ay). USG ile bilateral IJV, CA, FV ve FA çap (Dm) ve derinlikleri (Dp) ölçüldü. IJV, CA, FV ve FA’nın anatomik pozisyonları ve varyasyonları değerlendirildi. Majör damarların Dm ve Dp’si ile yaş, boy, ağırlık, vücut yüzey alanı (VYA) ve vücut kitle indeksi arasındaki korelasyonu analiz edildi.

Bulgular:

İJV, CA, FV ve FA Dm’si ve Dp’si gruplar arasında anlamlı farklılık gösterdi. Anatomik varyasyon sağ İJV’de %23,1, sol İJV’de %28,2, sağ FV’de %19,2 ve sol FV’de %28,2 idi. Majör damarların Dm’si ve Dp’si yaş, boy, ağırlık ve VYA ile anlamlı derecede korele idi. Regresyon katsayısı, 1 yıllık yaş artışının sağ İJV Dm’sindeki 0,414 mm’lik bir artışla ve ağırlıktaki her 1 kg’lik artışın sağ İJV Dm’sindeki 0,169 mm’lik bir artışla ilişkili olduğunu gösterdi.

Sonuç:

Konjenital kalp hastalığı olan çocuklarda vasküler Dm’ler ile yaş, ağırlık, boy ve VYA arasında yüksek bir korelasyon bulduk. Kardiyak cerrahi geçirecek pediyatrik hastalarda kateter girişimlerinden önce uygun damar ve kateter boyutunu belirlemek için majör damarların USG ile değerlendirilmelidir.

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Kardiyak Cerrahi Geçiren Çocuklarda Majör Damarların Ultrason ile Anatomik Olarak Değerlendirilmesi

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References