• Title/Summary/Keyword: interventional

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Management of Complex Regional Pain Syndrome Type 1 with Barbiturate Coma Therapy -A case report- (Barbiturate 혼수 요법(Coma Therapy)을 이용한 제1형 복합부위통증증후군 치험 -증례보고-)

  • Park, Tae Kyu;Han, Kyung Ream;Shin, Dong Wook;Lee, Young Joo;Kim, Chan
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.213-217
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    • 2006
  • Although various treatments for complex regional pain syndrome (CRPS) have been proposed, no well recognized treatment for CRPS has been established. Herein, a case using barbiturate coma therapy for the refractory pain management of a 24-year-old male patient, who suffered from constant stabbing and burning pain, with severe touch allodynia in the left upper extremity following blunt trauma on his forearm is described. Interventional treatments, including permanent spinal cord stimulation and large doses of oral medications, were performed. However, the pain could not be controlled, which lead to frequent emergency room treatment for about 1 month prior to his therapy. He then underwent barbiturate coma therapy due to the uncontrollable pain, with repeated sedation therapy due to his outrageous behavior. His pain became increasingly tolerable and the allodynia was markedly decreased after 5 days of coma therapy.

Extraction of an Infected Permanent Pacemaker Lead Using Cardiopulmonary Bypass - 2 case reports - (체외 순환을 이용한 감염된 영구 심박동기 도선의 제거 - 2예 보고 -)

  • Oh, Tak-Hyuck;Kim, Gun-Jik;Lee, Jong-Tae
    • Journal of Chest Surgery
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    • v.43 no.1
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    • pp.86-88
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    • 2010
  • Implanting a pacemaker is the most often used intervention for treating bradycardia. The most commonly used pacemaker is the intracardiac pacemaker, yet it can have many complications. An infected pacemaker can spread to systemic infection and the condition of the patient can quickly get worse, so if an infected pacemaker is suspected, then the pacemaker must be removed. Apart from the use of interventional methods such as a loop or a weight, we can take a more aggressive approach by using extracorporeal circulation for removal of the pacemaker. We report here on two cases in which extracorporeal circulation was used to remove the infected pacemakers.

Percutaneous Radiologic Gastrostomy, Gastrojejunostomy (영상유도 피부경유위창냄술, 위빈창자연결술)

  • Cho, Sung-Bum;Park, Sang-Joon;Chung, Hwan-Hoon;Lee, Seung-Hwa;Park, Beom-Jin;Kang, Chang-Ho;Kim, Yun-Hwan
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.19 no.1
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    • pp.31-37
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    • 2008
  • Patients with impaired ability to eat require nutritional support enterally or parenterally. Gastrostomy is a preferred method because total parenteral nutrition has many complications and high cost. Surgical gastrostomy has been a traditional and well-established method prior to the development of percutaneous gastrostomy. Since then, percutaneous gastrostomy has been established as an effective, safe, easy technique with a low morbidity and mortality rate. Consequently, percutaneous gastrostomy has been the first method for long-term enteral nutrition. The purpose of this review is to describe the techniques, indications, complications of percutaneous radiologic gastrostomy/gastrojejunostomy and to compare with endoscopic method.

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Evaluation of Radiation Entrance Surface Dose Rates for Interventional Radiology Equipment (인터벤션 방사선발생장치에서 입사표면선량률 평가)

  • Kang, Byung-Sam;Chang, Kwang-Hyun
    • Journal of radiological science and technology
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    • v.43 no.5
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    • pp.353-357
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    • 2020
  • IVR procedures are on the rise, and patient doses are on the rise. It is necessary to evaluate fluoroscopy dose in IVR procedure. Evaluate ESD on IVR equipment as a reference to DRL settings, I would like to present the direction of improvement in the ESD rate test criteria for fluoroscopy dose. The experimental method is measured with 6cc ionization chamber under the 20cm PMMA Phantom. Radiation is subject to abdominal procedure. The average dose rate of the incident surface was 21.6 ± 11.4 mGy/min. The highest dose equipment was 58.5 mGy/min, and there was no equipment exceeding the domestic standard of 100 mGy/min. However, there were five units above 50 mGy/min. To reduce fluoroscopy dose, it is recommended to reduce pulse rate, The dose increases as the image receptor ages. It is recommended to modify the domestic inspection criteria to 50 mGy/min.

Comparative study of dose due to the change of fluoroscopy pulse rate of Epidural Injection treatment time (Epidural Injection시술시 투시율 변화에 따른 선량비교연구)

  • Seo, Jeong-Beom;Oh, Dong-Hoon;Lee, Jeong-Beom;Lee, Jong-Woong
    • Korean Journal of Digital Imaging in Medicine
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    • v.15 no.1
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    • pp.21-26
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    • 2013
  • To be investigated and measures to reduce the medical exposure of patients to change the Epidural Injection time Fluoroscopy Pulse Rate in this study. Was conducted in 50 patients who underwent surgery Epidural Injection performed by interventional care of Konkuk University Hospital from January to April 2013. The treatment time with the change of Pulse rate, is measured in minutes fluoroscopy time, and measured the area dose (${\mu}Gym^2$) and depth dose (mGy). Using the Image J program, to measure the PSNR and SNR. The fluoroscopy time as a result surgery, there was no significance in the statistical analysis, and depth dose is 34.3 to 34.9%, was reduced from 35.8 to 38.7% the area dose. It is possible to reduce the appropriate Pulse rate, to reduce the dose without statistical analysis significance fluoroscopy time.

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Study on the Performance Evaluation and Supplementations of Extracorporeal Shockwave Therapy (체외충격파 치료기(Extracorporeal Shockwave Therapy)의 성능평가 및 보완사항에 관한 연구)

  • Oh, Chan-Woo;Park, Sang-Geon;Park, Hong-Gyu
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.67 no.1
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    • pp.52-56
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    • 2018
  • Extracorporeal shockwave therapy has been widely spread out showing an excellent efficacy compared to traditional medicinal treatments, interventional procedures or surgeries for diseases of tendons and musculoskeletal system. Major performance tests of extracorporeal shockwave therapy consist of pressure, energy flux, concentration, and effective amount of energy on the focus area of shockwave according to IEC 61846. Shockwave should be irradiated accurately to the lesion area to improve the performance of extracorporeal shockwave therapy, which makes it necessary to add the relevant section, IEC 60601-2-36 (12.1.101. Precision of Target Markers and Target Locations). International standards of extracorporeal shockwave therapy have been prepared based on European and western people. Thus, we need to conduct many studies on Korean patients to improve the quality of extracorporeal shockwave therapy and to develop the medical industry. In addition, the performance evaluation of extracorporeal shockwave therapy which has been prepared according to international standards should be additionally modified and supplemented corresponding to the Korean circumstances.

Ultrasound-guided Intervention in Lumbar Spine (요추부 초음파 유도하 중재술)

  • Moon, Sang Ho
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.6 no.2
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    • pp.81-93
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    • 2013
  • This review was described to investigate the feasibility of using ultrasound as an image tool for interventions of lumbar spine. This article will first provide an overview of lumbosacral spine surface anatomy and sonoanatomy. A detailed understanding of anatomy is critical for interpretation of ultrasound and procedural performance at spine. Fluoroscopy is most commonly used in interventional spine procedures, but radiation exposure is the major concern when obtaining fluoroscopic images. Ultrasound is radiation-free, is easy to use, and can provide real-time images with high accuracy. Also this device can be used in virtually any clinical setting. Ultrasound guidance offers a reliable alternative to fluoroscopy or computed tomography for lumbar interventions and can be safely performed without radiation exposure.

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Factors Influencing the Burden Felt by Main Family Caregivers of Elderly Patients with Brain and Spinal Diseases (뇌.척추질환 노인 환자 주 가족수발자의 부담감에 영향을 미치는 요인)

  • Park, Hee-Kyung;Park, Kyung-Min
    • Research in Community and Public Health Nursing
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    • v.22 no.4
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    • pp.389-398
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    • 2011
  • Purpose: This study of this study was to identify factors influencing the burden of main family caregivers who take care of elderly patients with brain and spinal diseases. Methods: This was conducted as descriptive research and data were collected from 255 main family caregivers who were taking care of elderly patients with brain and spinal diseases from 4 hospitals in Daegu and Gyeongbuk Province. Stepwise-multiple regression was used to identify the influencing factors of burden felt. Results: As the score of burden felt by the main family, economic, social, physical, interdependent and emotional burdens were high in order. Factors influencing burden felt by main family care givers taking care of elderly patients with brain and spinal diseases were changed relation with patient after hospitalization, daily life ability, marital status, education and family caregiver's personality (explanatory power of 24.6%). Family caregivers felt a heavier burden when their relation with the patient was changed negatively or when the patient's activity of daily living was low. Conclusion: Based on these results, we need to develop coping measures and interventional programs for reducing the burden felt by the main family caregivers of elderly patients with brain and spinal diseases.

Hybrid Operation for Arteriovenous Malformation in Left Soleus Muscle with Embolization of Feeding Artery and En Bloc Resection: A Case Report

  • Chun, Dong-Il;Kim, Seong-Min;Yun, Sangchul;Kim, Yong Jae;Goo, Dong Erk;Choi, In Ho
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.1
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    • pp.23-26
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    • 2015
  • Arteriovenous malformations (AVMs) are characterized by the presence of abnormal connections between feeding arteries and draining veins. It is generally assumed that symptomatic lesions can preferably be treated. Due to high arterial blood flow, there is a risk of bleeding with surgical excision alone, which can be massive and life threatening during the operation. According to recent advances in interventional technique, a hybrid approach using embolization of the feeding artery with subsequent immediate excision of the AVM for successful management of vascular lesions could be applied to AVMs. Herein, we describe a case of successful excision of AVM in the left soleus muscle using a hybrid approach.

Comparison of conventional imaging techniques and CBCT for periodontal evaluation: A systematic review

  • Choi, Isabela Goulart Gil;Cortes, Arthur Rodriguez Gonzalez;Arita, Emiko Saito;Georgetti, Marco Antonio Pauperio
    • Imaging Science in Dentistry
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    • v.48 no.2
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    • pp.79-86
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    • 2018
  • Purpose: This study aimed to carry out a systematic review of studies in the literature comparing conventional imaging techniques with cone-beam computed tomography in terms of the role of these techniques for assessing any of the following periodontal conditions and parameters: infrabony defects, furcation involvement, height of the alveolar bone crest, and the periodontal ligament space. Materials and Methods: Interventional and observational studies comparing conventional imaging techniques with cone-beam computed tomography were considered eligible for inclusion. The MEDLINE and Embase databases were searched for articles published through 2017. The PRISMA statement was followed during data assessment and extraction. Results: The search strategy yielded 351 publications. An initial screening of the publications was performed using abstracts and key words, and after the application of exclusion criteria, 13 studies were finally identified as eligible for review. Conclusion: These studies revealed cone-beam computed tomography to be the best imaging technique to assess infrabony defects, furcation lesions, the height of the alveolar bone crest, and the periodontal ligament space.