대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제63권6호
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  • Pages.505-508
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  • 2010
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  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지

와파린에 의해 야기된 하지 동맥의 일차 박리: 증례 보고

Warfarin-induced Primary Dissection of Lower Peripheral Arteries: A Case Report

  • 이재아 (전북대학교 의학전문대학원 영상의학과) ;
  • 유희철 (전북대학교 의학전문대학원 의과학연구소) ;
  • 한영민 (전북대학교 의학전문대학원 영상의학과) ;
  • 곽효성 (전북대학교 의학전문대학원 영상의학과)
  • Lee, Jae-A (Department of Radiology, Chonbuk National University Hospital & Medical School) ;
  • You, He-Chul (Institute for Medical Science, Chonbuk National University Hospital & Medical School) ;
  • Han, Young-Min (Department of Radiology, Chonbuk National University Hospital & Medical School) ;
  • Kwak, Hyo-Sung (Department of Radiology, Chonbuk National University Hospital & Medical School)
  • 투고 : 2008.11.25
  • 심사 : 2009.10.29
  • 발행 : 2010.12.01
⟨ 이전 논문 다음 논문 ⟩

초록

대동맥 침범 없이 하지 동맥의 일차 박리는 드문 일이다. 와파린은 다양한 임상 상황에서 항혈전제로 사용되고 있다. 저자들은 인공판막 치환술 후 와파린 치료 중 총장골동맥과 대퇴동맥의 국소 박리 증례를 보고하고자 한다. 혈액학적 검사상 높은 국제 정상화비와 활성화부분트롬보플라스틴시간의 연장 소견을 보였다. 혈관조영술상 좌총장골동맥과 우대퇴동맥의 박리를 확인할 수 있었으며, 스텐트 삽입 후 증상은 소실되었다.

Primary dissection of a peripheral artery without involvement of the aorta is a rare entity. Warfarin is currently used as the standard oral anticoagulant in a variety of clinical settings. We report here on a case of focal dissection of the common iliac artery and the superficial femoral artery following prophylactic treatment with warfarin for a prosthetic heart valve. The patient’s laboratory results showed a high international normalized ratio and prolongation of the activated partial thromboplastin time. Angiography showed a dissection of the left common iliac artery and the right superficial femoral artery. His symptoms immediately disappeared after deploying stents to the arterial dissections.

키워드

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