• 제목/요약/키워드: interventional

검색결과 580건 처리시간 0.029초

Spontaneous Hemomediastinum and Hemothorax Caused by a Ruptured Bronchial Artery Aneurysm

  • Seo, Yeon-Ho;Kwak, Jin-Young
    • Journal of Chest Surgery
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    • 제44권4호
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    • pp.314-317
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    • 2011
  • A bronchial artery aneurysm (BAA) is uncommon and usually associated with chronic inflammatory lung disease or a systemic vascular condition, which is rarely the etiology of mediastinal hemorrhage. A middle-aged person presented with spontaneous hemothorax and hemomediastinum. A diagnostic evaluation identified a bronchial artery aneurysm as the source. To prevent further rupture, we performed a bronchial artery embolization. In the absence of trauma or other causes for hemothorax and mediastinal hemorrhage, the possibility of a BAA should be considered. A bronchial artery aneurysm can be managed by interventional techniques as well as surgery.

Approach for Epiduroscopic Laser Neural Decompression in Case of the Sacral Canal Stenosis

  • Jo, Dae Hyun;Yang, Hun Ju;Kim, Jae Jung
    • The Korean Journal of Pain
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    • 제26권4호
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    • pp.392-395
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    • 2013
  • Epiduroscopy is very useful in the treatment of not only low back pain caused by failed back surgery syndrome, epidural scar or herniated disc but also by chronic refractory low back pain which does not respond to interventional conservative treatment including fluoroscopically-directed epidural steroid injections and percutaneous adhesiolysis. Because cauterization using a laser fiber has become recently available, a wider opening is required to enter into the sacral canal in the case of epiduroscopic laser neural decompression (ELND). However, in a few patients, it is difficult to insert a device into the epidural space due to stenosis around the opening, and there is no alternative method. Herein, we report a case where a hiatus rasp specially designed for such patients was used to perform the operation.

Extended duration pulsed radiofrequency for the management of refractory meralgia paresthetica: a series of five cases

  • Ghai, Babita;Dhiman, Deepanshu;Loganathan, Sekar
    • The Korean Journal of Pain
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    • 제31권3호
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    • pp.215-220
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    • 2018
  • Meralgia paresthetica (MP) is a sensory mononeuropathy, caused by compression of the lateral femoral cutaneous nerve (LFCN) of thigh. Patients refractory to conservative management are treated with various interventional procedures. We report the first use of extended duration (8 minutes) pulsed radiofrequency of the LFCN in a case series of five patients with refractory MP. Four patients had follow up for 1-2 years, and one had 6 months follow up. All patients reported remarkable and long lasting symptom relief and an increase in daily life activities. Three patients came off medications and two patients required minimal doses of neuropathic medications. No complications were observed.

혈관조영실 환자의 치료음악을 통한 긴장감 완화에 대한 연구 및 고찰 (The Effects of Therapeutic Music Application for Patient During Angiogram & Radiological Interventional Procedure)

  • 이임범;박준호;임진혁;이재경;김재술;이광현
    • 대한방사선협회지
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    • 제30권1호
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    • pp.148-158
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    • 2004
  • Purpose : Most Patients experienced severe tension and/or anxiety during invasive procedures at angiography room. To ease patients' emotion and to improve their tolerance to the procedure, we applied music therapy. Material and Methods : Between March 1 a

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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.

인공판막 혈전에 의한 좌전하행지 폐쇄 후 급성심근경색 -1예 보고- (Acute Myocardial Infarction after Embolic Occlusion of Left Anterior Descending Artery by Prosthetic Valve Thrombosis - Report of 1 case -)

  • 김재현;임달수;오삼세;백만종;김종환;나찬영
    • Journal of Chest Surgery
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    • 제37권4호
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    • pp.369-372
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    • 2004
  • 인공판막 혈전에 의한 관상동맥 폐쇄 후 발생하는 급성심근경색은 드물지만 치명적인 질환으로 환자들의 생존율을 높이기 위해서는 빠른 진단과 적절한 치료가 중요하다 본원에서는 기계승모판막 혈전에 의한 좌전하행지의 폐쇄로 급성심근경색이 발생한 환자 1예에서 중재시술 및 항혈전요법 후 승모판 재치환술을 성공적으로 시행하였기에 증례 보고하는 바이다.

동맥경화증의 발생에 관한 혈류역학적 가설들에 대한 비교연구 (A Comparative Study of the Hemodynamic Hypotheses for the Generation of Atherosclerosis)

  • 서상호;조민태;노형운;권혁문
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2003년도 춘계학술대회
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    • pp.1915-1918
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    • 2003
  • Atherosclerosis, which is a degenerate disease, is believed to occur in the vascular system due to deposition of cholesterol and low density lipoprotein(LDL) or thrombosis on the blood vessel. Atherosclerosis narrows arterial lumen, which is known as stenosis phenomenon of blood vessel. Pathogenesis of atherosclerosis is thought to occur mainly by aging. Restenosis phenomenon is observed in the same site of insertion of a stent and balloon angioplasty after treatment of interventional theraphy. Several hypothetical theories related to the generation of atherosclerosis have been reported: high shear stress theory, low shear stress theory, high shear stress gradient theory, flow separation and turbulence theory and high pressure theory. However, no one theory clearly explains the causes of atherosclerosis. In the present study the generation of atherosclerosis in the left coronary artery is investigated. The hypotheses are verified by using the computer simulation.

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가와사끼병의 심혈관계 합병증 및 치료 (Cardiovascular complications after Kawasaki disease and its management)

  • 장기영
    • Clinical and Experimental Pediatrics
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    • 제51권5호
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    • pp.462-467
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    • 2008
  • Kawasaki disease is a systemic vasculitis of unknown etiology, usually occurring in infants and young children. Although the etiology of Kawasaki disease remains uncertain, its serious complicationssuch as giant aneurysm formation, coronary arterial stenotic lesions, and thrombotic occlusionhave been proven to cause myocardial ischemia or infarction in patients with Kawasaki disease. To prevent and treat these complications, several modes of therapyincluding long-term anticoagulation, interventional catheterization, and surgical treatmenthave been gradually developed. In this article, we review the cardiovascular complications following Kawasaki disease and the management thereof, which includes thrombolytic therapy, catheter intervention, and coronary artery bypass graft.

골관절염 대상자 자기관리를 위한 모바일앱 콘텐츠 개발: 델파이 조사를 활용하여 (Development of Mobile Application Contents for Self-management of Patients with Osteoarthritis: Using Delphi Method)

  • 박주영;손정태
    • 근관절건강학회지
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    • 제26권3호
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    • pp.307-318
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    • 2019
  • Purpose: The purpose of this study was to explore the essential contents of mobile application for self-management of patients with osteoarthritis through Delphi survey. Methods: The Delphi survey was conducted with 14 experts to determine the importance of contents in osteoarthritis self-management mobile application. Results: A total of 25 contents were finalized for the osteoarthritis self-management mobile application. The contents consisted of 7 items for daily living management, 8 items for disease information, 3 items for pain management, 6 items for exercise, and 1 item for weight management. Conclusion: Based on the results of this study, self-management mobile application can be developed and used as an interventional tool for patients with osteoarthritis.

Supravalvular Pulmonic Stenosis with Pulmonary Hypertension in a Bedlington Terrier Dog

  • Park, Kuk-Te;Hyun, Changbaig
    • 한국임상수의학회지
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    • 제34권4호
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    • pp.268-271
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    • 2017
  • A 1.3 year-old Castrated male Bedlington terrier (10.0 kg of body weight) was presented with heart murmur and occasional coughing. Diagnostic imaging studies revealed supravalvular pulmonic stenosis (maximal velocity 2.91 m/s) from abnormal membranous structure (aperture) distal to the pulmonary valve in the main pulmonary artery. Further study also revealed pulmonic regurgitant (1.82 m/s of peak velocity, 13.2 mmHg of pressure gradient) jets started from the abnormal membranous structure. Since the dog had no obvious clinical signs related to heart failure, no interventional therapy including balloon dilation was considered in this case. Instead, medical treatment for preventing further deterioration of clinical signs related to PS was done with enalapril. This case report described a rare case of type III supravalvular PS in a dog, which has never been reported. Further deterioration of clinical signs has yet been recognized after medical treatment.