• 제목/요약/키워드: venous

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식도정맥류 출혈에 내시경적 경화요법 후 합병된 상 장간막 정맥 혈전증 1예 (A Case of Superior Mesenteric Venous Thrombosis after Endoscopic Sclerotherapy)

  • 김원덕;최광해;하정옥
    • Journal of Yeungnam Medical Science
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    • 제18권2호
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    • pp.297-301
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    • 2001
  • 저자들은 Banti 증후군으로 진단받은 환아가 식도정맥류 출혈로 인해 내시경적 경화요법을 받은 후 심한 복통과 설사 증상을 나타낸 상 장간막 정맥 혈전증 1예를 경험하였기에 보고하고자 한다.

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Revisiting radial forearm free flap for successful venous drainage

  • Cha, Yong Hoon;Nam, Woong;Cha, In-Ho;Kim, Hyung Jun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제39권
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    • pp.14.1-14.4
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    • 2017
  • Tissue defect reconstruction using radial forearm free flap (RFFF) is a common surgical technique whose success or failure is mainly dependent on venous drainage. RFFF has two major venous outflow systems, superficial and deep vein. Drainage methods include combining both systems or using one alone. This review aims to recapitulate the vascular anatomy and network of RFFF as well as shed light on deep vein as a reliable venous drainage system. We also discuss basic evidence for and advantages of single microanastomosis with coalesced vein to overcome technical difficulties associated with the deep vein system.

Vinyl 부식법(腐蝕法)에 의(依)한 한우비주정맥(韓牛脾柱靜脈)의 구역적(區域的) 주행(走行)에 관(關)한 연구(硏究) (Studies on the Segmental Running of Splenic Tabecular Veins of Korean Cattle by the Vinylite Corrosion Technique)

  • 김종섭
    • 대한수의학회지
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    • 제11권1호
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    • pp.83-90
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    • 1971
  • The studies were conducted to ramify the splenic trabecular veins by injection of vinylite into the splenic veins in twenty five adult Korean cattle. The following results were obtained. 1. Splenic trabecular veins of bovine were collected from 3 chief Rami lienales: Rr. superior, inferior and V. polaris superior of the splenic veins, and the splenic parenchyma was ramified to 5-11 intralienal venous segments by the course of the trabecular veins. 2. Each one of the intralienal venous segments was dealt with 2-4 minute segments therefore, the splenic parenchyma was ramified from 13 minute segments in minimum to 35 minute segments in maximum. 3. The distribution of the veins in the spleen was divided into 7 types by the number of intralienal venous segment, and also was 15 kinds by collecting veins, Rr. superior et inferior and V. polaris superior. 4. The anastomosis was observed in the intralienal venous segments or minute segments. 5. Generally the splenic veins and arteries were like each other, but when observed minutely, they were unlike.

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Brainstem Congestion due to Dural Ateriovenous Fistula at the Craniocervical Junction

  • Wu, Qi;Wang, Han-Dong;Shin, Yong Sam;Zhang, Xin
    • Journal of Korean Neurosurgical Society
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    • 제55권3호
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    • pp.152-155
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    • 2014
  • Dural ateriovenous fistula (DAVF) at the craniocervical junction is rare. We report a patient presenting with brainstem dysfunction as an uncommon onset. Brainstem lesion was suggested by magnetic resonance image study. Angiogram revealed a DAVF at a high cervical segment supplied by the meningeal branch of the right vertebral artery, with ascending and descending venous drainage. Complete obliteration of the fistula was achieved via transarterial Onyx embolization. Clinical cure was achieved in the follow-up period; meanwhile, imaging abnormalities of this case disappeared. Accordingly, we hypothesize that a brainstem lesion of this case was caused by craniocervical DAVF, which induced venous hypertension. Thus, venous drainage patterns should be paid attention to because they are important for diagnosis and theraputic strategy.

Massive hemothorax after central venous catheter insertion in a patient with multiple trauma

  • Park, Jeong Heon;Song, Jaegyok;Oh, Pyeong-wha
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제21권1호
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    • pp.81-85
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    • 2021
  • Central venous catheter (CVC) insertion is commonly used in the operating room and intensive care unit to monitor central venous pressure and secure an intravenous route to deliver medications and nutritional support that cannot be safely infused into peripheral veins. However, CVC insertion may be associated with serious complications such as arterial puncture, hematoma, pneumothorax, hemothorax, catheter infections, and thrombosis. Several methods have been recommended to prevent these complications. Here we report a case of massive hemothorax caused by attempts of CVC insertion into the internal jugular vein and subclavian vein in a patient with multiple trauma. CVC placement should be performed or supervised by an experienced physician to decrease the incidence of CVC-related complications. CVC insertion under ultrasound guidance is recommended.

심부 정맥 혈전으로 오인된 총대퇴정맥에 생긴 외막낭성질환: 증례 보고 (Adventitial Cystic Disease of the Common Femoral Vein Mimicking Deep Venous Thrombosis: A Case Report)

  • 민선하;김재형
    • 대한영상의학회지
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    • 제82권5호
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    • pp.1315-1320
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    • 2021
  • 외막낭성질환은 점액을 함유하는 낭종이 혈관벽에 생긴 것으로 정맥에 생기는 경우는 매우 드물다. 우리는 41세 남자 환자에서 심부 정맥 혈전증으로 오인하였다가 외막낭성질환으로 진단하게 된 증례를 특징적인 영상 소견과 함께 심부 정맥 혈전증과 비교하여 보고하고자 한다.

췌장암 환자에서 정맥 혈전증 예방 (Prophylaxis of Venous Thromboembolism in Patients with Pancreatic Cancer)

  • 이강원;이재민;이홍식
    • Journal of Digestive Cancer Research
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    • 제8권1호
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    • pp.51-55
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    • 2020
  • Prognosis of patients with pancreatic cancer is poor due to difficulty in early diagnosis and low resectability rate at the time of diagnosis. Apart from the progression of cancer, venous thromboembolism - a complication that can increase patient mortality - is known to occur frequently in pancreatic cancer. This review was aimed at identifying whether venous thromboembolism is more common in pancreatic cancer than in other cancer types. In addition, we reviewed several studies to determine whether thromboprophylaxis increases the survival rates of patients with pancreatic cancer.

Portal cavernoma cholangiopathy: Update and recommendations on diagnosis and management

  • Ruchir Bhavsar;Amitabh Yadav;Samiran Nundy
    • 한국간담췌외과학회지
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    • 제26권4호
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    • pp.298-307
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    • 2022
  • Portal cavernoma cholangiopathy is defined as an obstruction of the biliary system due to distended veins surrounding bile ducts that mainly occur in patients with extrahepatic portal venous obstruction. The periductal venous plexuses encircling the ducts can cause morphological changes which may or may not become symptomatic. Currently, non-invasive techniques such as ultrasonography, computed tomography, magnetic resonance cholangiopancreatography, and dynamic contrast enhanced magnetic resonance images are being used to diagnose this disorder. Only a few patients who have symptoms of biliary obstruction require drainage which might be accomplished using endoscopic stenting, decompression of the portal venous system usually via a lienorenal shunt, a difficult direct hepaticojejunostomy, and rarely a liver transplant.

수지 재건시 불충분한 혈행상태의 수혜부에 시행한 동맥화 정맥 유리 피판술 (Arterialized Venous Free Flap at the Insufficient Vascular Recipient Bed in Finger Reconstruction)

  • 이영근;박기태;이준모;박혁
    • Archives of Reconstructive Microsurgery
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    • 제21권2호
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    • pp.131-136
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    • 2012
  • Purpose: Arterialized venous flap is useful for reconstruction of the traumatic soft tissue defect in fingers, but insufficient circulation of the traumatic fingers makes surgeons annoying to use the flap. We have grafted flaps in 7 fingers with insufficient vascular bed hoping to expanded the category of the flap. Materials and Methods: Arterialized venous flap have transplanted in 7 fingers from March 2008 through February 2010 and followed up for 4 to 16 months(average 7.2 months). They were all male with a mean age at the time of surgery was 33. The main injury was crushing in 4 degloving, contact burn and saw injury was I respectively. Time interval from injury to flap transplantation was average 3.1. weeks(3 days to 6 weeks). Designed flap size ranges from $8cm{\times}3.5cm$to $4cm{\times}3cm$. Vessel type of flap was one artery with two veins were 5 cases and one artey with one vein 2. Flap type was cutaneous in 3, tendocutaneous 2, neurotendocutaneous 1 and neurocutaneous 1. The circulation state of recipient site was avascular in 2 cases, insufficiency 3 and tip avascular 2. Results: Arterialized venous flap was complete survived in 2 cases, partial necrosis(less than 10%) 3 and failed in 2. Conclusion: An arterialized venous free flap could be a useful procedure for reconstruction in soft tissue or combined defect of the finger despite an avascular or insufficient vascular beds if the recipient beds were free from infection.

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유리 동맥화 정맥피판을 이용한 수부의 재피복술 (Resurfacing of the Open Wound of the Hand With Free Arterialized Venous Flap)

  • 우상현;김성언;정재호;이경호;설정현
    • Journal of Yeungnam Medical Science
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    • 제11권2호
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    • pp.303-313
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    • 1994
  • 저자들은 최근 실험과 임상에서 활발히 연구 및 응용되고 있는 정맥 피판 중에서 동맥혈을 유입시킨 '유리 동맥화 정맥 피판술'을 수부의 각 부위 즉 수장부, 소지구, 제 1 수지간 공간, 다발성 수지 첨부 및 수배부 등의 연부조직 결손시에 즉시 혹은 이차적으로 재건에 이용하여 수부의 기능과 모양의 회복에 있어서 만족할 만한 결과를 얻을 수 있었다. 이를 위해서는 술자가 정맥피판에 대한 확신을 가지고, 피부 결손 부위보다 크게 피판을 박리하고 지나친 동맥혈의 유업을 피하면서 유출정맥의 수를 증가시켜 술 후 부종으로 인한 피판의 긴장을 감소시킴으로 변연부의 괴사를 방지해야 할 것이다.

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