http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
김성관,곽효성,정경호,한영민 대한영상의학회 2011 Korean Journal of Radiology Vol.12 No.5
Objective: To evaluate the usefulness of percutaneous aspiration thromboembolectomy (PAT) via a transbrachial approach in patients with acute upper limb ischemia. Materials and Methods: From July 2004 to March 2008, eleven patients with acute upper limb ischemia were enrolled in this study. They were initially treated with thrombolysis (n = 1), PAT (n = 6), or both (n = 4) via a femoral artery approach. However, all of the patients had residual thrombus in the brachial artery, which was subsequently managed by PAT via the transbrachial approach for removal of residual emboli. Results: Successful re-canalization after PAT via a transbrachial approach was achieved in all patients. Two patients experienced early complications: one experienced a massive hematoma of the upper arm due to incomplete compression and was treated by stent deployment. The other patient experienced a re-occlusion of the brachial artery the day after the procedure due to excessive manual compression of the puncture site, but did not show recurrence of ischemic symptoms in the artery of the upper arm. Clinical success with complete resolution of ischemic symptoms was achieved in all patients. Conclusion: PAT via a transbrachial approach is a safe and effective treatment for patients with acute upper limb ischemia. Objective: To evaluate the usefulness of percutaneous aspiration thromboembolectomy (PAT) via a transbrachial approach in patients with acute upper limb ischemia. Materials and Methods: From July 2004 to March 2008, eleven patients with acute upper limb ischemia were enrolled in this study. They were initially treated with thrombolysis (n = 1), PAT (n = 6), or both (n = 4) via a femoral artery approach. However, all of the patients had residual thrombus in the brachial artery, which was subsequently managed by PAT via the transbrachial approach for removal of residual emboli. Results: Successful re-canalization after PAT via a transbrachial approach was achieved in all patients. Two patients experienced early complications: one experienced a massive hematoma of the upper arm due to incomplete compression and was treated by stent deployment. The other patient experienced a re-occlusion of the brachial artery the day after the procedure due to excessive manual compression of the puncture site, but did not show recurrence of ischemic symptoms in the artery of the upper arm. Clinical success with complete resolution of ischemic symptoms was achieved in all patients. Conclusion: PAT via a transbrachial approach is a safe and effective treatment for patients with acute upper limb ischemia.
경동맥 스텐트 삽입술에 의해 회복을 보인 관류저하성 치매
김성관,이수윤,강명진,박경원 대한치매학회 2008 Dementia and Neurocognitive Disorders Vol.7 No.2
Cortical hypoperfusion is related to cognitive and neuropsychiatric symptoms and signs. It is suggested that disruption of the frontal-subcortical circuit or perfusion deficits by remote vascular stenosis may play an important role in patients with vascular dementia. We report a case of acute hypoperfusion dementia that showed improvement of cognitive impairment and hemodynamic recovery after stent insertion. Extensive perfusion deficits caused by carotid artery stenosis with secondary hypometabolism in the hemispheric region may be a cause of reversible vascular dementia syndrome.