Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Endovascular Treatment of Intralobar Pulmonary Sequestration with Vascular Plug: A Case Report

Vascular Plug를 이용한 내엽성 폐분리증의 동맥내 중재적 치료: 증례 보고

  • Kim, Yun-Jung (Department of Radiology, Eulji Hospital, Eulji University School of Medicine) ;
  • Cho, Young-Kwon (Department of Radiology, Eulji Hospital, Eulji University School of Medicine) ;
  • Lee, Jae-Hyung (Department of Internal Medicine, Eulji Hospital, Eulji University School of Medicine) ;
  • Woo, Jung-Joo (Department of Radiology, Eulji Hospital, Eulji University School of Medicine) ;
  • Choi, Yun-Sun (Department of Radiology, Eulji Hospital, Eulji University School of Medicine)
  • 김윤정 (을지대학교 의과대학 을지병원 영상의학과) ;
  • 조영권 (을지대학교 의과대학 을지병원 영상의학과) ;
  • 이재형 (을지대학교 의과대학 을지병원 내과) ;
  • 우정주 (을지대학교 의과대학 을지병원 영상의학과) ;
  • 최윤선 (을지대학교 의과대학 을지병원 영상의학과)
  • Received : 2012.03.19
  • Accepted : 2012.07.03
  • Published : 2012.08.01

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Abstract

Intralobar pulmonary sequestration is a rare entity, which requires surgical resection as the treatment of choice. Recently, endovascular treatment for occlusion of the feeding artery has been frequently used with the increased availability regarding a variety of embolic materials, such as gelatin sponge particles, polyvinyl alcohol particles, and coils. Authors described the successful treatment of intralobar pulmonary sequestration with a Type II Amplatzer Vascular Plug and antibiotic-soaked gelatin sponge particles for complete occlusion of the feeding artery regarding intralolar pulmonary sequestration. Neither recanalization of the feeding artery for the sequestered lung nor other complications occurred during a 1-year follow-up.

내엽성 폐분리증은 매우 드문 질환으로 주로 수술적 치료를 시행하였으나 최근 젤라틴 스펀지, polyvinyl alcohol 및 코일 등의 다양한 색전물질의 사용이 가능해지면서 급양동맥을 폐쇄시키는 동맥내 중재적 치료가 자주 이용되고 있다. 저자들은 Type II Amplatzer Vascular Plug와 항생제를 흡수시킨 젤라틴 스펀지를 이용하여 내엽성 폐분리증의 급양동맥을 성공적으로 폐쇄시켜서 치료했던 환자에 대해 기술하였다.

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