Transcarotid Coil Embolization in a Yorkshire Terrier Puppy with Patent Ductus Arteriosus Using a JR Coronary Catheter and Free Push Deployment System

동맥관 개존증에 걸린 요크셔테러어종 자견에서 경동맥 경로와 JR Coronary Catheter/Free Push Deployment System을 이용한 색전코일을 이용한 치료증례

  • Choi, Bum-Sul (Section of Small Animal Internal Medicine, Institute of Veterinary Medicine, College of Veterinary Medicine, Kangwon National University) ;
  • Choi, Ran (Section of Small Animal Internal Medicine, Institute of Veterinary Medicine, College of Veterinary Medicine, Kangwon National University) ;
  • Hyun, Chang-Baig (Section of Small Animal Internal Medicine, Institute of Veterinary Medicine, College of Veterinary Medicine, Kangwon National University)
  • 최범술 (강원대학교 수의(학부)대학 소동물 내과교실) ;
  • 최란 (강원대학교 수의(학부)대학 소동물 내과교실) ;
  • 현창백 (강원대학교 수의(학부)대학 소동물 내과교실)
  • Accepted : 2011.04.16
  • Published : 2011.04.30

Abstract

Several vascular accesses can be used for catheter guided coil embolization for occluding patent ductus arteriosus (PDA). Although trans-femoral approach is most commonly used in dogs, it is often unable to insert angiocatheter for inserting the coil delivery system, especially small puppies weighing less than 2 kg of body weight. Therefore this case study developed trans-carotid method for puppy using JR coronary catheter and free push delivery system. Using this new method, we successfully treated a puppy with PDA weighing 1.25 of body weight.

카테터를 이용한 비외과적인 코일 전색술이 동맥관 개존중 치료를 위해 개발되어 있다. 비록 개에서는 대퇴동맥을 이용한 코일 전색술이 가장 보편적으로 이루어지고 있는 시술법이지만, 체중이 2 kg이하인 어린 강아지에서는 카테터 장착을 위한 혈관 확보가 어렵다는 단점이 있다. 따라서 본 증례연구에서는 체중이 적게 나가는 어린 강아지에서 적용이 가능한 경동맥 접근법과 이에 적합한 카테터 장착과 코일 장착방법을 새롭게 시도하여 치료를 하였다. 이 기법을 이용하여 1.25 kg의 요크셔테리어 강아지의 동맥관 개존증을 성공적으로 치료하였다.

Keywords

References

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