한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제25권5호
  • /
  • Pages.400-404
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  • 2008
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

중증 서맥성 전도장애 개에서 피부경유 심박 조절 하에 기관내 스텐트 장착

Intratracheal Stenting Under the Aid of Transcutaneous Cardiac Pacing in a Dog with Severe Bradycardic Conduction Defect

  • 이승근 (고려동물병원) ;
  • 현창백 (강원대학교 수의학과 수의내과학교실) ;
  • 장광호 (경북대학교 수의과대학 수의외과학교실)
  • Lee, Seung-Keun (Korea Animal Hospital) ;
  • Hyun, Chang-Baig (Section of Small Animal Internal Medicine, School of Veterinary Medicine, Kangwon National University) ;
  • Jang, Kwang-Ho (College of Veterinary Medicine, Kyungbuk National University)
  • 발행 : 2008.10.31
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초록

10살된 암컷 요오크셔테리어(체중 3 kg)가 심한 호흡곤란 청색증, 간헐성 발작 증상으로 진료가 의뢰되었다 신체검사 결과 지속성 맥박결손을 동반한 불규칙 서맥이 부정기적으로 관찰되었다. 심전도 검사에서 고도의 방실차단이, 방사선검사에서 중증 기관허탈이 진단되었다. 피부경유 심박조절 하에 자동확장 기관내 스텐트를 성공적으로 장착할 수 있었다.

A 10-year-old intact female Yorkshire terrier dog (weighing 3 kg) was referred with the primary complaint of severe dyspnea, cyanosis and occasional syncopal episode. Physical examination revealed irregularly irregular bradycardia with persistent pulse deficits. The 12-lead surface ECG showed high grade atrioventricular blocks. Thoracic radiography revealed severe intrathoracic collapse. The dog was successfully treated with an intraluminal self-expanding stent ($COOK^{(R)}$) under the aid of transcutaneous cardiac pacing.

키워드

참고문헌

  1. Ayres SA, Holmberg DL. Surgical treatment of tracheal collapse using pliable total ring prostheses: Results in one experimental and 4 clinical cases. Can Vet J 1999; 40: 787-790
  2. Barthell E, Troiano P, Olson D, Stueven HA, Hendley G. Prehospital external cardiac pacing: a prospective, controlled clinical trial. Ann Emerg Med 1988; 17: 1221-1226 https://doi.org/10.1016/S0196-0644(88)80074-X
  3. Brown CG, Gurley HT, Hutchins GM. Injuries associated with percutaneous placement of transthoracic pacemakers. Ann Emerg Med. 1985; 14: 223-228 https://doi.org/10.1016/S0196-0644(85)80444-3
  4. Buback JL, Boothe HW, Hobson P. Surgical treatment of tracheal collapse in dogs: 90 cases. J Am Vet Med Assoc 1996; 208: 380-384
  5. DeFrancesco TC, Hansen BD, Atkins CE, Sidley JA, Keene BW. Noninvasive transthoracic temporary cardiac pacing in dogs. J Vet Intern Med. 2003; 17: 663-667 https://doi.org/10.1892/0891-6640(2003)017<0663:NTTCPI>2.3.CO;2
  6. Fingland RB, Dehoff WD, Birchard SJ. Surgical management of cervical and thoracic tracheal collapse in dogs using extraluminal spiral prostheses. J Am Anim Hosp Assoc 1987; 50: 163-172
  7. Gellasch KL, Costa DA, Gomez T, Mcanulty JF, Bjorling DE. Use of intraluminal nitinol stents in the treatment of tracheal collapse in a dog. J Am Vet Med Assoc 2002; 221: 1719-1723 https://doi.org/10.2460/javma.2002.221.1719
  8. Kelly JS, Royster RL, Angert KC, Case LD. Efficacy of noninvasive transcutaneous cardiac pacing in patients undergoing cardiac surgery. Anesthesiology. 1989; 70: 747-751 https://doi.org/10.1097/00000542-198905000-00006
  9. Lee S-G, Kim M-J, Hyun C. Management of refractory tracheal collapse in a dog using self-expanding intraluminal prosthesis. J Anim Vet Adv 2007; 6: 490-495
  10. Lee S-G, Moon H-S, Lee M-H, Hyun C. Permanent transvenous cardiac pacing in a Beagle dog with a third degree atrioventricular block. J Vet Clin 2007; 24: 414-418
  11. Mittleman E, Weisse C, Mehler SJ, Lee JA. 2004. Fracture of an endoluminal nitinol stent used in the treatment of tracheal collapse in a dog. J Am Vet Med Assoc 2004; 225: 1217-1221 https://doi.org/10.2460/javma.2004.225.1217
  12. Moritz AM, Schneider M, Bauer N. 2004. Management of advanced tracheal collapse in dogs using intraluminal selfexpanding biliary wallstents. J Vet Int Med 2004; 18: 31-42 https://doi.org/10.1892/0891-6640(2004)18<31:MOATCI>2.0.CO;2
  13. Radlinsky MG, Fossum TW, Walker MA, Aufdemorte TB, Thompson JA. Evaluation of the Palmaz stent in the trachea and mainstem bronchi of normal dogs. Vet Surg 1997; 26: 99-107 https://doi.org/10.1111/j.1532-950X.1997.tb01471.x
  14. Syverud SA, Dalsey WC, Hedges JR, et al. Transcutaneous cardiac pacing: Determination of myocardial injury in a canine model. Ann Emerg Med. 1983; 12: 745-748 https://doi.org/10.1016/S0196-0644(83)80249-2
  15. White RAS, Williams JN. Tracheal collapse in the dog-Is there really a role for surgery? A survey of 100 cases. J Small Anim Pract 1994; 35: 191-196 https://doi.org/10.1111/j.1748-5827.1994.tb01685.x
  16. Woo HM, Kim MJ, Lee SG, Nam HS, Kwak HH, Lee JS, Park IC, Hyun C. Intraluminal tracheal stent fracture in a Yorkshire terrier. Can Vet J 2007; 48: 1063-1066
  17. Zoll PM, Belgard AH, Weintraub MJ, Frank HA. External mechanical cardiac stimulation. N Engl J Med 1976; 294: 1274-1275 https://doi.org/10.1056/NEJM197606032942307
  18. Zoll PM, Zoll RH, Belgard AH. External noninvasive electric stimulation of the heart. Crit Care Med 1981; 9: 393-394 https://doi.org/10.1097/00003246-198105000-00021