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Amplatzer Vascular Plug를 이용한 내장골동맥류의 혈관 내 치료 2예
황홍필,양재도,정지현,한영민,유희철,조백환 대한혈관외과학회 2011 Vascular Specialist International Vol.27 No.3
To report endovascular occlusion of an internal iliac artery aneurysm (IIAA) of two patients using Amplatzer vascular plug (AVP; AGA Medical Corporation, USA). A 69-year-old asymptomatic man had aneurysms of both internal iliac arteries. The size of the right (Rt) IIAA was 23 mm and that of the left (Lt) IIAA was 45 mm. We decided to induce vascular occlusion of the Lt internal iliac artery (IIA). We deployed an AVP in the proximal and distal Lt IIA. The patient was discharged after four days and showed no recurrence of aneurysm for one year. A 78-year-old women had lower abdominal pain for three days. Computed tomography scan showed a 43 mm Rt common iliac artery (CIA) aneurysm and a 38 mm Rt IIAA. We decided to insert a stent graft in the Rt CIA and to occlude the Rt IIA using AVP. We deployed the stent graft in the Rt CIA and the AVP in the distal Rt IIA. The patient was discharged after seven days and demonstrated no recurrence of aneurysm for four months. AVP is a feasible vascular occlusive device for internal iliac artery aneurysm.
황홍필,이민로,김종훈 대한대장항문학회 2007 Annals of Coloproctolgy Vol.23 No.6
Purpose: Pelvic actinomycosis is a rare infection which presents difficulty in establishing a correct preoperative diagnosis. The aim of this study is to find diagnostic clues for pelvic actinomycosis preoperatively. Methods: A retrospective analysis performed at Chonbuk National University Hospital identified 9 patients with a diagnosis of pelvic actinomycosis from 1998 to 2006. Results: All patients were women with a history of intrauterine device (IUD) use. Abdominal pain (7 cases), palpable mass (3 cases), defecation difficulty (3 cases) and leucorrhea (2 cases) were the main presenting complaints. The median duration of presenting symptoms was 78 days (range: 10∼365 days). The median duration of using an IUD unchanged was 11 years (range: 4∼30 years). A correct diagnosis was made in 3 patients (33%) without exploration. All patients were treated with antibiotics after pathologic diagnosis. There was no recurrence. Conclusions: It is very difficult to diagnose pelvic actinomycosis preoperatively. Howere, if a mass or a pelvic abscess is found in women with an IUD that has been unchanged for a long time, pelvic actinomycosis should be suspected to avoid unnecessary exploration.
황홍필,유희철,양재도,배상인,황시은,조백환 연세대학교의과대학 2015 Yonsei medical journal Vol.56 No.2
Severe portal vein thrombosis (PVT) is often considered a relative contraindicationfor living donor liver transplantation due to high associated risks and morbidity. Meanwhile, improvement in operative techniques, resulting in higher success rates has removed PVT from the list of contraindications in deceased donor liver transplantation (DDLT). In this report, we describe a surgical technique for DDLT using polytetrafluoroethylene graft from the inferior mesenteric vein for portal inflowin patient with portomesenteric thrombosis.
만성하지동맥폐색증 환자의 위험인자 및 동반 질환에 따른 개존율 분석
정지현,황홍필,양재도,유희철,한영민,조백환 대한혈관외과학회 2012 Vascular Specialist International Vol.28 No.2
Purpose: The aim of this study is to analyze the patency rates according to the risk factors and comorbidities in patients treated with endovascular treatments or arterial bypass surgery due to chronic arterial occlusive disease in the lower extremity. Methods: Two hundred fifty-seven patients were treated for chronic arterial occlusive disease in lower extremity from January 2000 to December 2010 at Chonbuk National University Hospital; of the 257 patients, we retrospectively reviewed medical records of 142 patients who could be followed-up. We analyzed the patency rates according to the Trans-Atlantic Inter-Society Consensus (TASC) II classification, risk factors and comorbidities. Results: One year, three year, and five year patency rates according to TASC classification had no statistical significance (P=0.301), and those risk factors and comorbidities associated with each other also had no statistical significance. However, the patency rates according to the number of risk factors and comorbidities demonstrated statistical significance (P=0.004), respectively. In addition, when sum of the total number was above 6, the patency rates were the poorest with statistical significance (P<0.001). Also, these analyses had statistical significance in the groups regarding TASC C, D (P<0.001), aorto-iliac lesions ((P<0.001) and femoro-popliteal lesions (P<0.001). Conclusion: Analysis of risk factors and comorbidities in patients with chronic arterial occlusive disease in the lower extremity can be useful in predicting the patency rates prior to endovascular treatments or arterial bypass surgeries.
The Results of Self-Expandable Kissing Stents in Aortic Bifurcation
문재영,황홍필,곽효성,한영민,유희철 대한혈관외과학회 2015 Vascular Specialist International Vol.31 No.1
Purpose: Kissing stent reconstruction is a widely used technique for the management of aortoiliac occlusive disease involving the aortic bifurcation or proximal common iliac arteries. The purpose of this study was to evaluate the results of self-expandable kissing stents in the aortic bifurcation. Materials and Methods: We reviewed medical records of the patients treated with a kissing stent retrospectively from January 2007 to December 2012. The primary and secondary patencies were determined with Kaplan-Meier analysis, and Cox regression was used to determine the factors associated with patency. Results: A total of 21 patients were included, and all were male (median age 53±15 years, range 48?78 years). Major symptoms were claudication (n=16, 61.9%), rest pain (n=5, 23.8%) and gangrene (n=5, 23.8%). Tans-Atlantic Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC) II classification was A 2 (9.5%), B 5 (23.8%), C 7 (33.3%) and D 8 (38%). The mean follow-up was 40.7 months. Major complication occurred in only one case which consisted of distal limb ischemia by emboli. Six patients developed symptomatic restenosis or occlusion. There was no major amputation, but minor amputation occurred in 3 patients. There were 2 mortalities not associated with the procedure (lung cancer and intracranial hemorrhage). Primary patency was 89.6% at 1 year, 74.7% at 3 years and 64.0% at 5 years. Secondary patency was 94.1% at 1 year, 88.2% at 3 years and 68.6% at 5 years. No risk factors for restenosis or occlusion were identified. Conclusion: Self-expandable kissing stents can be used successfully with comparable patency for endovascular treatment of symptomatic atherosclerotic occlusive lesions in the aortic bifurcation area.
유희철,황홍필 대한외과초음파학회 2023 대한외과초음파학회지 Vol.10 No.2
IgG4-related disease is a multi-organ immune-medicated condition that mimics malignancies, infections, and inflammatory disorders. This report presents the case of a 62-year-old man with a history of repeated cellulitis and ulcers on his lower extremities who was diagnosed incidentally with IgG4-related disease during treatment. The patient’s unhealed ulcer was initially treated by debridement and aseptic dressing several times, but the wounds showed no improvement. Lower extremity venous ultrasound revealed unusually enlarged LN around the great saphenous vein (GSV) near the inguinal area and severe varicosity in both truncal veins. Lymphoscintigraphy was performed according to the ultrasound results, which showed secondary lymphedema in both legs. IgG4-released disease was diagnosed in an excisional biopsy of the lymph node near the great saphenous vein during stripping and ligation of the truncal vein. After continuous wound debridement and the administration of steroids and immunosuppressants, the patient's leg ulcer improved after approximately three months.