• 제목/요약/키워드: Thrombus Formation

검색결과 107건 처리시간 0.033초

측방 동맥류 색전술 후 코일 위치에 따른 혈류 유동의 변화 (Changes of Blood Flow Characteristics for different Coil Locations after the Embolisation of Lateral Aneurysms)

  • 이계한;송계웅;변홍식
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2002년도 춘계학술대회 논문집
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    • pp.124-127
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    • 2002
  • Ceil embolisation technique has been used to treat the intracranial aneurysms. Microcoils inserted into the aneurysm sac induce the blood flow stagnation inside the aneurysm sac, which causes the thrombus formation and embolisation of aneurysm. Since the intraaneurysmal flow patterns affect the embolisation process, we want to measure the flow field for different locations of coil inside the aneurysm sac . Lateral aneurysm models are manufactured using rapid prototyping, and the velocity fields are measured using particle image velocitimeter. Distally blocked models showed less flow into the aneurysm sac comparing to proximally blocked models. Also blocking the neck of aneurysm showed better inflow blocking comparing to blocking the dome of aneurysm. These results suggest that distal neck should be the preferred locations of coil for aneurysm embolisation.

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승모판막 이식수술: 2례 보고 (Mitral Valve Replacement: Report of Two Cases)

  • 장순명
    • Journal of Chest Surgery
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    • 제6권2호
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    • pp.195-202
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    • 1973
  • Two patients were admitted with chief complaints of exertional dyspnea and palpitation respectively. Physical examination showed Grade III and Grade II to III systolic rumbling murmur at apex in each case. Chest X-ray and EKG findings were compatible with mitral insufficiency in both cases. The diseased valves were replaced with Beall mitral valve prosthesis under cardiopulmonary bypass using hemodilution technic. The first patient died of asphyxia due to tracheomalacia complicated after tracheostomy 3 months after operation and the 2nd patient was discharged in good condition one month after operation-Autopsy of the 1st patient showed no thrombus formation, no disc variance, and good epithelization of valve cuffs. In the second case clinical improvement was remarkable with decreased heart size.

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인공심장 sac내의 3차원 유체-구조물 상호작용에 대한 수치적 연구 (Numerical analysis of the 3D fluid-structure interaction in the sac of artificial heart)

  • 박명수;심은보;고형종;박찬영;민병구
    • 한국전산유체공학회:학술대회논문집
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    • 한국전산유체공학회 2000년도 춘계 학술대회논문집
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    • pp.27-32
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    • 2000
  • In this study, the three-dimensional blood flow within the sac of KTAH(Korean artificial heart) is simulated using fluid-structure interaction model. The numerical method employed in this study is the finite element commercial package ADINA. The thrombus formation is one of the most critical problems in KTAH. High fluid shear stress or stagnated flow are believed to be the main causes of these disastrous phenomenon. We solved the fluid-structure interaction between the 3D blood flow in the sac and the surrounding sac material. The sac material is assumed as linear elastic material and the blood as incompressible viscous fluid. Numerical solutions show that high shear stress region and stagnated flow are found near the upper part of the sac and near the comer of the outlet during diastole stage.

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경피적 관상동맥 중재술 시 골절된 가이드 와이어의 외과적 제거 (Surgical Retrieval of Fractured Percutaneous Coronary Intervention Guidewire)

  • 이준완;김상필
    • Journal of Chest Surgery
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    • 제39권8호
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    • pp.640-642
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    • 2006
  • 경피적 관상동맥 중재술 시 사용되는 가이드 와이어의 골절은 드문 합병증이다. 골절로 인하여 관상동맥내에 위치하는 가이드 와이어는 혈관 내막 손상과 혈소판의 응집을 촉발하여 혈전 생성을 야기할 수 있다. 좌전하행지에 위치하여 안정 시 흉통을 유발한 가이드 와이어를 성공적으로 제거하고 관상동맥 우회술을 시행하였기에 보고하는 바이다.

Poly(r-benzyl L-glutamate)/ poly(ethylene glycol) block 공중합체 표면의 항혈전성에 관한 연구 (Antithrombogenicity of the Surfacfe of Poly(r-benzyl L-glutamate)/ Poly(ethylene glycol) Block Copolymer)

  • 조종수;송수창
    • 대한의용생체공학회:의공학회지
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    • 제8권2호
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    • pp.199-204
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    • 1987
  • ABA type block copolymers composed of r benzyle L-glutamate as the A component and poly(ethylene glycol) as the B components were obtained. Platelet adhesion on their sunfaces was investigated by a column elusion method to examine the effects of microdomain and secondary structure. The number of platelets adhered from whole blood and plasma rich platelet was smaller for the block copolymer systems than for the homopolymers. In the block copolymer system, the number of platelets adrered on their surfaces increased with increasing the content of PEG, that is, with decreasing of a-helix of block copolymers. A thick thrombus formation on the PBLG homopolymer was observed than block copolymer by scanning electron micrographs. The platelets adhesion increased with increasing the critical surface tension of the block copolymer.

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Endovascular Rescue Method for Undesirably Stretched Coil

  • Cho, Jae Hoon
    • Journal of Korean Neurosurgical Society
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    • 제56권4호
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    • pp.364-367
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    • 2014
  • Undesirable detachment or stretching of coils within the parent artery during aneurysm embolization can be related with thrombus formation, which can be caused occlusion of parent artery or embolic event(s). To escape from this situation, several rescue methods have been reported. A case with undesirably stretched coil in which another rescue method was used, is presented. When the stretched coil is still located in the coil delivery microcatheter, the stretched coil can be removed safely using a snare and a handmade monorail microcatheter. After a snare is lodged in the handmade monorail microcatheter, the snare is introduced over the coil delivery micorcatheter and located in the distal part of the stretched coil. After then, the handmade monorail microcatheter captures the stretched coil and the snare as one unit. This technique using a handmade monorail microcatheter and a snare can be a good rescue modality for the undesirably stretched coil, still remained within the coil delivery microcatheter.

Congenital mitral valve stenosis in a Chinchilla cat

  • Lu, Ta-Li;Hung, Yong-Wei;Choi, Ran;Hyun, Changbaig
    • 대한수의학회지
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    • 제56권3호
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    • pp.197-200
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    • 2016
  • A one-year-old, 3.25 kg intact male Chinchilla cat presented with acute right hind limb paralysis. Diagnostic imaging studies found cardiomegaly with interstitial lung pattern, abnormal mitral valve leaflets without maximum opening at the end of the ventricular diastole and during atrial systole and severe mitral inflow obstruction. Based on these findings and its young age, the case was diagnosed as congenital mitral valve stenosis. Treatment was directed to stabilize clinical conditions related to heart failure, to prevent further formation of thrombus and to relieve pain associated with thromboembolism. After one month of therapy, hind limb motor function was fully recovered.

능동운동과 수동운동이 운동조절에 미치는 영향 (The Effects of Motor Control with Active Movement and Passive Movement)

  • 배성수;김철용;황보각;정현애;최재원
    • The Journal of Korean Physical Therapy
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    • 제11권3호
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    • pp.13-21
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    • 1999
  • Active movement is able to actively contract his muscles and move a segment either with or without assistance. This movement maintain physiologic elasticity and contractility of the participating muscles, provide sensory feedback from the contracting muscles and stimulus for bone integrity as well as increase circulation and prevent thrombus formation, in addition to develop coordination and moor skills for functional activities. Passive movement is the motion to the external force; gravity, machine, another individuals. Active movement is more activated rather than passived on the central nervous system. Therefore, we think that active movement is more effected facilitating through specific inhibitory mobilization of muscle.

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한국형 인공심장의 시스템 및 혈류해석에 관한 연구 (Study on the analysis of system and hemodynamics of the Korean artificial heart)

  • 심은보;고형종;윤찬현;민병구
    • 한국전산유체공학회:학술대회논문집
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    • 한국전산유체공학회 2002년도 춘계 학술대회논문집
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    • pp.2-7
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    • 2002
  • Flow in the blood sac of the Korean artificial heart is numerically simulated by finite element method. Fluid-structure interaction algorithm is employed to compute the 3D blood flow interacting with the sac material. The motion of the actuator is simplified by a time-varying pressure boundary condition imposed on the outer surface of the sac. Numerical solutions show that there are a strong flow into the outlet and a stagnation flow near the inlet during systole. Shear stress distribution is also delineated to assess the possibility of thrombus formation.

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심내막 심근섬유증 (Endomyocardial Fibrosis -A case report-)

  • 최창휴;박이태;박성식;류재욱;김재현;김삼현
    • Journal of Chest Surgery
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    • 제32권3호
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    • pp.310-314
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    • 1999
  • 심내막 심근섬유증은 비교적 드문 형태의 심근병증으로 섬유화와 혈전 등에 의해 심실충만의 제한과 심실강 유입부의 폐쇄를 가져온다. 병이 진행하면 심판막까지 침범해 방실판 역류를 일으킨다. 유일한 치료법은 심내막절제술과 판막대치술 등의 수술적 방법이다. 저자들은 수술적 치료를 시행했던 심내막 심근섬유증을 1례 치험하였다. 이에 관련된 문헌과 함께 보고하는 바이다.

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