• Title/Summary/Keyword: stenting

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Amaurosis Fugax Associated with Stenosis of the Intracranial Internal Carotid Artery : Successful Restoration of Ophthalmic Artery Flow by Stent Placement

  • Lee, Chang-Young
    • Journal of Korean Neurosurgical Society
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    • v.40 no.1
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    • pp.28-30
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    • 2006
  • Two patients presented with amaurosis fugax[AMF]. despite treatment with antiplatelet drugs and anticoagulants due to previous transient ischemic attacks. Angiography demonstrated severe stenosis in the cavernous and petrous internal carotid artery[ICA] respectively, with reduced flow in the ophthalmic artery[OA]. Endovascular stent placement in both patients resulted in normalization of the vessel lumen of the stenotic vessel segments. In addition, complete restoration of OA flow was noted immediately after stenting. Both patients showed no further episode of AMF over a follow-up period of 38 and 23 months respectively. Our clinical and angiographic findings suggest that hemodynamic Insufficiency in retinal vasculature caused by a stenosis of the cavernous or petrous ICA can be treated successfully by endovascular stent.

Stent-assisted Angioplasty for Symptomatic Radiation-induced Carotid Stenosis

  • Kwon, Yoon-Kwang;Kim, Eal-Maan;Lee, Chang-Young
    • Journal of Korean Neurosurgical Society
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    • v.41 no.5
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    • pp.327-329
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    • 2007
  • A 44-year-old woman presented with recurrent, transient episodes of left-side hemiparesis. She had received a radiation dose of 6120 cGy to her cervical region for parotid gland carcinoma 13 years previously. Cerebral angiography revealed a long, irregular tight stenosis involving the right extracranial internal carotid artery [ICA] and common carotid artery [CCA], measuring approximately 90% at the most severe narrowing according to North American Symptomatic Carotid Endarterectomy Trial criteria. Endovascular stent placement resulted in restoration of the carotid lumen to about 80% of its original diameter. She showed no further ischemic events during the follow-up period of 48 months. Our clinical and angiographic findings suggest that carotid stenting is considered a safe and effective treatment option in patients with radiation-induced carotid stenosis.

The Communited Fracture of Larynx (후두 분쇄 골절의 치료)

  • 김형태;조승호;김민식;선동일;최재혁
    • Korean Journal of Bronchoesophagology
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    • v.3 no.1
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    • pp.174-180
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    • 1997
  • Acute laryngeal trauma is a rare injury, but it threatens both the quality and maintenance of life. The optimal goal of treatment for acute communited laryngeal fracture is restoration of the skeletal framework and epithelial lining of endolarynx. But though the diagnostic skill has been developed, decision making for treatment of laryngeal trauma such as operating tim, open exploration versus closed reduction and stenting is very difficult and controversial. Recently, the authors experienced two cases with severe communited fractures of laryngeal framework and endolaryngeal avulsion injuries who were treated successfully with open surgical repair without stenting. So we report these two cases with review of the literatures.

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Multilevel Analysis of Factors Related to Cost and Length of Stay in Acute Myocardial Infarction Patients with Coronary Stenting: Based on Korean National Health Insurance Service's Customized Database in 2010 and 2015 (관상동맥 스텐트를 삽입한 급성 심근경색 환자의 진료비 및 재원일수 관련 요인에 대한 다수준분석: 2010년과 2015년 국민건강보험공단 맞춤형 데이터베이스 자료를 바탕으로)

  • Choi, Boyoung;Lee, Hae-Jong
    • Health Policy and Management
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    • v.30 no.3
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    • pp.418-429
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    • 2020
  • Background: This study aims to analyze the cost and the length of stay (LOS) of acute myocardial infarction (AMI) patients with coronary artery stenting according to the characteristics of individuals and institutions. Methods: The data was collected from Korean National Health Insurance Service's customized database in 2010 and 2015. Chi-square test, t-test, analysis of variance, and multilevel analysis were performed. Results: The intraclass correlation coefficients for cost were 7.02% in 2010, 5.61% in 2015 and for LOS were 3.17%, 1.40%, respectively. The average costs were 9,067,000 won in 2010 and 9,889,000 won in 2015 (p<0.0001). However, the cost in 2015 was lower than the cost applying increased fee. The costs increased in aged 50-59 years, 60-69 years, and aged ≥70 years versus in aged under 49 years. The cost was higher in Charlson comorbidity index (CCI) 3 to 4 and ≥5 than in CCI 0. The costs were lower in male, medical aid recipients, metropolises, and local hospitals in other regions in 2010. LOS decreased from 8.1 days in 2010 to 7.4 days in 2015. It decreased in male, high income group, and the group of admission via emergency room. However, it increased in higher ages and medical aid recipients, and it also increased when CCI rose. The Internal Herfindahl Index was related to LOS in 2010. Conclusion: The variation of hospital level was small compared to the patient level. Therefore, it is important to implement applicable policies at the patient level in order to reduce cost and LOS of AMI patients.

Bleeding after Taking Dual Antiplatelets and NSAID Concurrently (항혈소판제와 비스테로이드성소염진통제의 동시 투약으로 인한 출혈 사례)

  • Seo, Jeongmin;Choi, Joonghyuk;Son, Pyoungwoo;Lee, Seungmin;Chae, Hyunwoo;Kang, Geunhyung;Ji, Eunhee
    • Korean Journal of Clinical Pharmacy
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    • v.28 no.3
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    • pp.250-253
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    • 2018
  • When stenting is applied to treat myocardial infarction, antiplatelet agents are administered to prevent thrombosis, which increases the risk of bleeding. Patients with myocardial infarction are also more likely to have osteoarthritis simultaneously, because both diseases occur frequently in elderly patients. Patients with osteoarthritis often use analgesics, especially nonsteroidal anti-inflammatory drugs (NSAIDs); hence, patients with both diseases use analgesics and antiplatelet agents simultaneously. The risk of bleeding increases with the use of antiplatelet agents and this is further increased when NSAIDs are added. We would like to report a case that reflects this situation. A 60-year-old man underwent stenting after ST-elevation myocardial infarction, and was treated with aspirin and clopidogrel. This patient also received a pelubiprofen prescription from another physician to treat osteoarthritis. After the patient took pelubiprofen twice, he found a bruise on his wrist and reported it to the pharmacist. It is unlikely that this is rare in community pharmacies, so pharmacists should pay careful attention to the concomitant administration of analgesics to patients receiving antiplatelet agents and should provide appropriate education to patients.

Flow Changes by Stent Insertion in Fusiform Aneurysm Models (스텐트 삽입에 의한 방추형 동맥류 내부 유동의 변화)

  • 이계한;서남현
    • Journal of Biomedical Engineering Research
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    • v.22 no.6
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    • pp.535-542
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    • 2001
  • Endovascular embolization technique using a steno is currently used to treat the wide neck aneurysm. Since intraaneurysmal flow characteristics affect thrombus formation and embolisation process. flow visualization technique incorporating photochromic dye was used to elucidate hemodynamic changes by stenting Inside the fusiform aneurysm models. Qualitative observation of flow field and measurement of wall shear rates were Performed at five aneurysm wall locations under pulsatile flow. Intraaneurysmal flow motion was reduced and sluggish vortical motion was maintained during late deceleration phase by stenting. Also wall shear rates were reduced and OSI's were increased in the stented model. These flow characteristics Provide hemodynamic environment favorable for thrombus formation and intimal hyperplasia. The results of this study show hemodynamic changes by stenting Promote thrombus formation and aneurysm embolisation.

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Effect of Rootstock on Rooting and Early Yield of Stenting-propagated Cut Roses

  • Park, Yoo Gyeong;Jeong, Byoung Ryong
    • Horticultural Science & Technology
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    • v.33 no.1
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    • pp.11-17
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    • 2015
  • The study was conducted to investigate the effect of rootstock on growth and early yield of stenting-propagated cut roses (Rosa hybrida Hort.) 'Pink Aurora' and 'Yellow King'. The scions, prepared as single-node cuttings, each with a five-leaflet leaf, were grafted onto cuttings of Rosa indica 'Major', Rosa multiflora 'Chille Wonye No. 1', Rosa multiflora 'K-1', or Rosa multiflora 'Burr' as the rootstock. The rootstock cuttings were removed of all leaves and buds before grafting. The base of scion and the top of rootstock were held together and simultaneously cut at a $45^{\circ}$ angle for ease of grafting. Scion-rootstock unions were stuck in rockwool cubes and placed on a misted glasshouse bench for rooting before being transplanted into a rockwool slabs for cultivation. Rooting was the greatest in the 'Pink Aurora' and 'Yellow King' grafted on the rootstock Rosa indica 'Major'. In 'Pink Aurora', stem length, stem diameter, five-leaflet leaves per stem, and stem fresh weight of the harvested cut flowers were not affected by the rootstock. The greatest total yield of 'Pink Aurora' was obtained in plants grafted onto the Rosa indica 'Major' rootstock. Overall growth of 'Yellow King' was the greatest in plants grafted onto Rosa multiflora 'Burr' rootstock, although total yield was not affected by the rootstock. These results suggest that Rosa indica 'Major' is the most effective rootstock not only for rooting, but also for early yield and growth for stenting propagation of these cut roses.