• 제목/요약/키워드: Fistula, arteriovenous

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혈액투석 환자의 동정맥루 천자 시 에틸클로라이드 스프레이 적용이 통증, 우울 및 치료 지시 불이행에 미치는 효과 (Effects of Ethyl Chloride Spray before Arteriovenous Fistula Puncture on Pain, Depression, and Noncompliance of Hemodialysis)

  • 신창민;이민주
    • 근관절건강학회지
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    • 제30권1호
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    • pp.25-35
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    • 2023
  • Purpose: This study was conducted to examine the effects of ethyl chloride spray during arteriovenous fistula puncture on pain, depression, and noncompliance in hemodialysis patients. Methods: This study used a randomized controlled trial design on adults with chronic renal failure who received hemodialysis treatment through arteriovenous fistula. Ethyl chloride spray was applied to 20 subjects in the experimental group during arteriovenous fistula puncture, and a placebo spray was applied to 20 subjects in the control group; the intervention was conducted 12 times for 4 weeks. A total of 33 participants were used in the final analysis. The outcomes were measured using the face pain rating scale, Center for Epidemiological Studies Depression Scale (CES-D), and modified United States Renal Data System tools. Results: As a result of the pre-homogeneity test between the two groups, it was confirmed that the sexes were not homogeneous. Therefore, sex was treated as a covariate and analyzed. Puncture pain was significantly reduced in the experimental group (p<.001). However there was no significant difference between the groups in depression and noncompliance. Conclusion: Ethyl chloride spray was convenient and effective pain management intervention for both hemodialysis patients and medical staff.

요추궁 절제술 후 발생한 동정맥루 (Arteriovenous Fistula following Lumbar Laminectomy - A Case -)

  • 오중환
    • Journal of Chest Surgery
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    • 제24권6호
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    • pp.605-609
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    • 1991
  • The formation of postlaminectomy arteriovenous fistula is unusual and the rongeur during discectomy with resultant simultaneous damage to artery and vein is causative. The delay in diagnosis is particularly distressing. The presence of a palpable abdominal thrill or bruit with or without congestive heart failure should results in a high index of suspicion of this entity. Prompt recognition and surgical closure of the post-laminectomy arteriovenous iliac fistula are most important in successful management.

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추간원판 절제술후 발생한 동-정맥루 수술치험 1 (Arteriovenous fistula formation following disk surgery: one case report)

  • 유시원;최형호;장정수
    • Journal of Chest Surgery
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    • 제17권2호
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    • pp.315-320
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    • 1984
  • A vascular complication caused by lumbar disc surgery is not infrequent till recently after the report by Linton and White in 1945. Thereafter, many reports about the accidental injuries to the great vessels anterior to the lumbar area had been reported. In June, 1982, we experienced one case of arteriovenous fistula between right common lilac artery and inferior vena cava which was corrected surgically. The arteriovenous fistula caused by lumbar disc surgery and its review of the literature and presented.

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외상성 동정맥루 1례 보고 (Traumatic Arteriovenous Fistula)

  • 오세웅
    • Journal of Chest Surgery
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    • 제20권4호
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    • pp.847-850
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    • 1987
  • Traumatic arteriovenous fistula is relatively uncommon. The proper designation for what is called a false aneurysm is pulsating hematoma, which occurs when there is a small laceration of the wall of a large artery will continuing leakage of blood from the artery into surrounding tissues. The extent of growth of the pulsating hematoma depends on the strength of the surrounding fascial tissues. We experienced one case of arteriovenous fistula with hematoma, due to operative injuries, and operated successfully, and report the case.

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폐동정맥루 수술치험 1례 (Pulmonary arteriovenous fistula -One case report-)

  • 김학제
    • Journal of Chest Surgery
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    • 제19권2호
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    • pp.335-340
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    • 1986
  • Pulmonary arteriovenous fistula is unusually congenital malformation consisting of an abnormal connection between a pulmonary artery and vein. It may appear as an isolated anomaly or with hereditary hemorrhagic telangiectasis. In the classic form, symptoms and signs are caused by the abnormal right to left shunt. since severe clinical symptoms such as paradoxical embolism, infection, and spontaneous rupture with massive bleeding may occur, surgical treatment is often indicated. Recently we have experienced a surgical treatment of pulmonary arteriovenous fistula in 54 years old housewife. She was admitted in May 1986 with recurrent hemoptysis for 1 month. On admission, the PaO2 was 65.2 mmHg without specific findings. Pulmonary arteriovenous fistula was confirmed by preoperative pulmonary arteriography. A well circumscribed cystic mass was noted in visceral subpleural and inferior lingular segment of left upper lobe. Left upper lobectomy was performed with good results. Histologically angiomatous dilatation of abnormal vessels embedded in lung parenchyma was noted. Postoperative PaO2 was 90 mmHg. Postoperative results were good.

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우관상동맥에서 우심실로 개구되는 선천성 관동맥루;수술치험 2례 (Congeniral Coronary Arteriovenous Fistula; Right Coronary- Right Ventricle; Report of Two Cases)

  • 윤영철
    • Journal of Chest Surgery
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    • 제26권8호
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    • pp.638-642
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    • 1993
  • Congenital coronary arteriovenous fistula is relatively uncommon and widespread use of echocardiogram and selective coronary angiogram are being recognized with increasing frequency. The right coronary artery is most commonly involved and the fistulous communication is most common to right ventricle. Surgical correction is strongly recommended to prevent the development of congestive heart failure, angina, subacute bacterial endocarditis, myocardial infarction, and pulmonary hypertension, as well as coronary aneurysm formation, with subsequent rupture or embolism. We report two cases of coronary arteriovenous fistula originated from right coronary artery terminated in the right ventricle. These 8 year-old female and 7 year-old male patients had surgical interventions using cardiopulmonary bypasses.

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Post-Traumatic Arteriovenous Fistula of the Scalp

  • Ki, Hee Jong;Lee, Hyun Koo;Hur, Jin Woo;Lee, Jong Won
    • Journal of Korean Neurosurgical Society
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    • 제58권3호
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    • pp.298-300
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    • 2015
  • Arteriovenous fistula of the scalp is relatively rare disease. We report a traumatic arteriovenous fistula of the scalp treated with complete surgical excision and review the literature with regard to etiology, pathogenesis, and management of these unusual lesions.

Radial Arteriovenous Fistula Developed Late after Coronary Angiography: A Case Report

  • Na, Kwon Joong;Kim, Myung A;Moon, Hyeon Jong;Lee, Jeong Sang;Choi, Jae-Sung
    • Journal of Chest Surgery
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    • 제45권6호
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    • pp.421-423
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    • 2012
  • Transradial access is a widely accepted method for percutaneous coronary diagnostic and interventional procedures, and it has dramatically reduced access site vascular complications compared to transfemoral access. Arteriovenous fistula formation at the access site is an especially rare complication in transradial access. We report an extremely rare case of delayed radial arteriovenous fistula that developed one year after transradial coronary angiography, which was successfully treated by surgical repair.

총상 후 발생한 만성 외상성 대퇴동정맥루의 치험 -1예 보고 - (Chronic Traumatic Femoral Arteriovenous Fistula after Gunshot Vascular Injury - A case report -)

  • 김상익;김병훈
    • Journal of Chest Surgery
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    • 제41권1호
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    • pp.120-123
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    • 2008
  • 40년 전 군복무 중 우측 서혜부에 총상을 입은 과거력을 가진 60세 남자 환자로 파행과 운동 시 호흡 곤란을 주소로 내원하였다. 총상 교정술 후 지속된 만성 외상성 대퇴동정맥루로 진단되었고 수술은 소심낭을 이용한 누공 폐쇄와 대복재정맥을 이용한 대퇴동맥-슬와동맥 우회술이 이루어 졌다. 술 후 결과는 양호하였으며 문헌고찰과 함께 보고한다.

Occurrence of De Novo Dural Arteriovenous Fistula after Transvenous Embolization of Dural Arteriovenous Fistula : Case Reports of Two Patients

  • Makita, Ippei;Kamio, Yoshinobu;Hiramatsu, Hisaya;Kurozumi, Kazuhiko
    • Journal of Korean Neurosurgical Society
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    • 제65권4호
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    • pp.598-602
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    • 2022
  • Development of de novo dural arteriovenous fistula (DAVF) at a different site after resolution of an initial DAVF, is rare. Here we report two cases, which we encountered in our hospital. A 68-year-old woman presented with pulsatile tinnitus on the left side. Cerebral angiography demonstrated a left anterior condylar confluence (ACC) DVAF and she underwent transvenous embolization. Four years after this treatment, she presented with tinnitus on the left side, and cerebral angiography revealed a right DAVF around the sinus of the lesser sphenoid wing. Another 69-year-old woman presented with left-sided orbital bruits, chemosis, and conjunctival hyperemia. Cerebral angiography showed left cavernous sinus (CS) DAVF, for which she underwent transvenous embolization for CS DAVF. One year later, she developed a left ACC and transverse-sigmoid sinus (TSS) DAVF.