Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Thrombectomy of Femoro-Femoral Bypass Graft Occlusion Using the AngioJet Rheolytic Thrombectomy System and Embolic Protection Device: A Case Report

대퇴-대퇴동맥 우회 인조혈관 폐색에서 AngioJet Rheolytic Thrombectomy System과 색전보호기구를 이용한 혈전제거술: 증례 보고

  • Han Sol Kang (Department of Radiology, Kangwon National University Hospital, College of Medicine, Kangwon National University) ;
  • Sangjoon Lee (Department of Radiology, Kangwon National University Hospital, College of Medicine, Kangwon National University) ;
  • Soon-Young Song (Department of Radiology, Hanyang University Medical Center, Hanyang University College of Medicine) ;
  • Eung Tae Kim (Department of Radiology, Hanyang University Guri Hospital) ;
  • Seong Eun Ko (Department of Radiology, Kangwon National University Hospital, College of Medicine, Kangwon National University) ;
  • Sung Min Park (Department of Thoracic & Cardiovascular Surgery, Kangwon National University Hospital, College of Medicine, Kangwon National University)
  • 강한솔 (국립강원대학교 의과대학 강원대학교병원 영상의학과) ;
  • 이상준 (국립강원대학교 의과대학 강원대학교병원 영상의학과) ;
  • 송순영 (한양대학교 의과대학 서울병원 영상의학과) ;
  • 김응태 (한양대학교 구리병원 영상의학과) ;
  • 고성은 (국립강원대학교 의과대학 강원대학교병원 영상의학과) ;
  • 박성민 (국립강원대학교 의과대학 강원대학교병원 흉부외과)
  • Received : 2019.09.17
  • Accepted : 2020.07.15
  • Published : 2021.03.01
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Abstract

The authors report a successful thrombectomy using the AngioJet Rheolytic Thrombectomy System (AngioJet) and an embolic protection device in a patient with femorofemoral bypass graft occlusion. Lower extremity CT angiograms showed occlusion in the left-to-right femorofemoral bypass graft. A rheolytic thrombectomy using the AngioJet and balloon angioplasty restored blood flow to the right lower extremity, and distal embolization may be effectively prevented by placing an embolic protection device within the right superficial femoral artery during the procedure.

저자들은 대퇴-대퇴동맥 우회 인조혈관 폐색 환자에서 AngioJet Rheolytic Thrombectomy System (이하 AngioJet)과 색전보호기구를 이용하여 성공적으로 혈전제거술을 시행한 1예를 보고하고자 한다. 하지 혈관 전산화단층촬영에서 좌측에서 우측으로의 대퇴-대퇴 우회 인조혈관 폐색 소견을 보였다. AngioJet을 이용한 흐름 용해 혈전제거술과 풍선 혈관성형술을 시행하여 우측 하지 혈류를 재개통 시켰으며, 시술 중 우측 표재성 대퇴동맥에 색전보호기구를 거치시켜 효과적으로 원위부 색전을 예방할 수 있었다.

Keywords

References

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