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

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

  • 최범술 (강원대학교 수의(학부)대학 소동물 내과교실) ;
  • 최란 (강원대학교 수의(학부)대학 소동물 내과교실) ;
  • 현창백 (강원대학교 수의(학부)대학 소동물 내과교실)
  • 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)
  • 심사 : 2011.04.16
  • 발행 : 2011.04.30

초록

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.

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.

키워드

참고문헌

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