• Title/Summary/Keyword: Catheters

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Fracture of an Implantable Central Catheter Due to Pinch Off Syndrome (Pinch off 증후군에 의한 피하매몰형 중심정맥도관의 절단)

  • Yun, Ju-Sik;Oh, Sang-Gi;Song, Sang-Yun
    • Journal of Chest Surgery
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    • v.41 no.4
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    • pp.504-507
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    • 2008
  • Implantable central venous catheters (Chemoport) are increasingly being used for vascular access, parenteral nutrition and administering chemotherapeutic agents. As with most invasive procedures, central venous catheterization is associated with numerous potential complications such as infection, thoromboembolism and occlusion. A rare but serous complication is the catheter fracture. We present here three cases of catheter fracture as a consequence of Pinch off syndrome, and we include a review of the relevant literature.

Fabrication of Bending Actuator for Micro Active Catheter (초소형 작동형 내시경용 Bending 액츄에이터의 제작)

  • Lee, Kwang-Ho;Lee, Seung-Ki
    • Proceedings of the KIEE Conference
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    • 1997.11a
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    • pp.615-617
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    • 1997
  • This paper reports experimental results on the fabrication and analysis of millimeter-sized bending actuators for active catheter by use of the shape memory alloy spring and the flexible beam. The major components of micro actuator are shape memory alloy spring, stainless steel strip and two acryl links. The micro actuator with the diameter of 2.0 mm and the length of 25 mm has been fabricated and characterized for the possible application to the micro active catheters. The measured maximum angle is $60^{\circ}$ and the response time is 5 sec.

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Neonatal Thromboembolic Disorders (신생아 혈전색전증)

  • Kim, Do-Hyun
    • Neonatal Medicine
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    • v.18 no.1
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    • pp.23-33
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    • 2011
  • The etiology of thrombosis is multifactorial and involves the interaction of inherited and acquired risk factors. Many neonatal thromboembolic disorders are iatrogenic and their incidence is likely to increase as advancements are made in neonatal care. Among pediatric populations, neonates have the highest risk for thrombosis secondary to the unique developmental hemostatic system, inherited prothrombotic disorders, and perinatal clinical conditions. Central venous and arterial catheters present the greatest risk for developing thromboembolisms in neonates. Both venous and arterial thromboses have been reported in a variety of anatomic locations. Prompt identification and appropriate management of thromboembolisms is critical for avoiding life-threatening complications. To date, few data are currently available regarding the contribution of inherited and acquired prothrombotic disorders in the pathogenesis of neonatal thromboembolism. In particular, a lack of information about neonatal thromboembolism in Korea has inhibited the development of appropriate guidelines for diagnosing thromboembolisms in neonates. An overview of the current knowledge about the role of inherited and acquired risk factors for neonatal thromboembolism in the West and a detailed description of common neonatal thromboembolic diseases is reviewed.

Fabrication of Bending Actuator using Zigzag-type Shape Memory Alloy Spring (지그재그 형태의 형상기억합금 스프링을 이용한 굽힘 액추에이터의 제작)

  • Im, An-Su;Lee, Seung-Gi
    • The Transactions of the Korean Institute of Electrical Engineers C
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    • v.48 no.4
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    • pp.269-274
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    • 1999
  • A bending actuator using zigzag type shape memory alloy springs has been fabricated and characterized. The fabricated millimeter-sized actuator has outer diameter of 3.0mm and inner diameter of 2.0mm. The zigzag type spring is more suitable for thin wall type actuator because the zigzag type spring has a planar structure comparing with the coil type spring which has a three-dimensional structure. The measured characteristics of the fabricated bending actuator show the possibility of practical application to micro active bending catheters.

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Transfemoral plug closure of patent Ductus Arteriosus. Experiences in 6 consecutive cases treated without thoracotomy (동맥관 개존증에 대한 비개흉적 폐쇄술: 6례 치험 보고)

  • 강정호
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.542-548
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    • 1985
  • In 1966 Porstmann was the first to successfully apply a new method by which a PDA was closed by a Plug transported by catheters through the femoral artery. We Successfully closed the isolated PDA in 6 consecutive patients using the transfemoral catheter method. To Perform this technique more safely and reliably, some instrumental and technical improvements was made. The Indications for this method have been Expanded to include the cylindrical or window Type ductus as well as the conical-shaped ductus. Classification into three Groups of the configuration of the by Angiography has been useful in selecting the shape of the closing plug. Whenever feasible, we consider the catheter technique to be the method of choice to close the ductus.

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A Case of Infantile Fungal Urinary Tract Infection

  • Cho, Wonhee;Jo, Young Min;Oh, Yun Kyo;Rim, Ji Woo;Lee, Won Uk;Choi, Kyongeun;Ko, Jeong Hee;Jeon, Yeon Jin;Choi, Yumi
    • Childhood Kidney Diseases
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    • v.23 no.2
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    • pp.121-123
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    • 2019
  • Urinary tract infection is common in the pediatric population. The most common causative agents are bacteria, among which Escherichia coli is the most frequent uropathogen. Although fungal urinary tract infection is rare in the healthy pediatric population, it is relatively common among hospitalized patients. Fungus may be isolated from the urine of immunocompromised patients or that of patients with indwelling catheters. The most common cause of funguria is Candida albicans. Although more than 50% of Candida isolates belong to non-albicans Candida, the prevalence of non-albicans candiduria is increasing. Herein, we report a case of community-acquired candiduria in a 4-month-old immunocompetent male infant who had bilateral vesicoureteral reflux and was administered antibiotic prophylaxis. He was diagnosed with urinary tract infection caused by Candida lusitaniae and was managed with fluconazole.

A Case of Transorbital Orbital Floor Fracture Repair Assisted Endonasal Balloon Catheter (비내 풍선 카테터 유도하 경안와 접근법을 이용한 안와 하벽 골절 정복 1예)

  • Kim, Min Joon;Kim, Jung Suk;Park, Tae Jung;Jung, Tae Young
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.276-280
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    • 2018
  • It is important to choose which approaches should be used to correct the fracture if the operation is indication for surgery in patients with orbital floor fracture. Transorbital, transantral, and endonasal approaches are methods for correcting the orbital floor fracture. The approach needs to be considered the location of the fracture, the degree, the severity of the fracture, the least remaining patient's disability, and preference of the surgeon. We report a case of orbital floor fracture using transorbital approach and endonasal catheter ballooning to resolve the limitations of transorbital approach alone.

Efficacy of rhomboid intercostal block for analgesia after thoracotomy

  • Okmen, Korgun
    • The Korean Journal of Pain
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    • v.32 no.2
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    • pp.129-132
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    • 2019
  • Regional anesthesia, including central and plane blocks (serratus anterior plane block and erector spinae block), are used for post-thoracotomy pain. The rhomboid intercostal block (RIB) is mainly performed by injection to the upper intercostal muscle plane below the rhomboid muscle. It has been reported to provide analgesia at the T3-T9 levels. The RIB was performed on 5 patients who had been scheduled for thoracotomy. The catheter was advanced in the area under the rhomboid muscle between the intercostal muscles. Postoperative visual analog scale (VAS) scores were observed and each patient's resting VAS score remained below 3 for 48 hours. The RIB has been observed to be a convenient plane block for post-thoracotomy analgesia. We believe that further information from detailed studies is required.

Massive hemothorax after central venous catheter insertion in a patient with multiple trauma

  • Park, Jeong Heon;Song, Jaegyok;Oh, Pyeong-wha
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.1
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    • pp.81-85
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    • 2021
  • Central venous catheter (CVC) insertion is commonly used in the operating room and intensive care unit to monitor central venous pressure and secure an intravenous route to deliver medications and nutritional support that cannot be safely infused into peripheral veins. However, CVC insertion may be associated with serious complications such as arterial puncture, hematoma, pneumothorax, hemothorax, catheter infections, and thrombosis. Several methods have been recommended to prevent these complications. Here we report a case of massive hemothorax caused by attempts of CVC insertion into the internal jugular vein and subclavian vein in a patient with multiple trauma. CVC placement should be performed or supervised by an experienced physician to decrease the incidence of CVC-related complications. CVC insertion under ultrasound guidance is recommended.

Neurotoxicity of Paclitaxel and Rapamycin in a Rat Model with Transient Blood-Brain Barrier Opening

  • Cho, Won-Sang;Choi, Jung Hoon;Kwon, O-Ki
    • Journal of Korean Neurosurgical Society
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    • v.65 no.2
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    • pp.180-185
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    • 2022
  • Objective : Drug-eluting stents and balloons are occasionally used to reduce restenosis in medically intractable intracranial atherosclerotic stenosis. The authors aimed to determine whether such drugs can cause neurotoxicity due to local effects in a rat model. Methods : Intra-arterial catheters were placed in the right common carotid artery of rats. Mannitol was injected to transiently open the brain-blood barrier (BBB), followed by high-dose drug (paclitaxel and rapamycin) injection. The optimal time interval of transient BBB opening for maximal drug penetration was determined to be 10 minutes. Paclitaxel and rapamycin were intra-arterially administered in various doses. All the rats were neurologically evaluated, and their brain tissues were histologically examined. Results : Neither neurological deficits nor histological abnormalities were observed in all the rats. Conclusion : Paclitaxel and rapamycin did not cause neurotoxicity in a rat model with transient BBB opening.