http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 주제어 : Internal Mammary Vessels (검색결과 5 건)
- 무료
- 기관 내 무료
- 유료
-
Variation of Internal Mammary Vessels: Vein Lateral to Artery: Two Cases
이주현,한대희 대한영상의학회 2013 대한영상의학회지 Vol.69 No.2
Congenital variations of the internal mammary vascular anatomy are rare and may be encountered during various percutaneous transthoracic procedures. Hereby, we present two cases of congenital variations of the internal mammary vessel incidentally found on CT, with the vein entirely or partially lying lateral to the artery in the first intercostals space. The imaging findings and the clinical implications of these rare anatomical variations are being presented.
-
좌내유동맥-관상동맥 우회술 환자에서 동반된 좌측 쇄골하동맥 협착에 대한 중재적 치료
제환준,박재형,신청일,이병진,조영권,정진욱 대한영상의학회 2006 대한영상의학회지 Vol.55 No.2
Purpose: We wanted to evaluate the clinical usefulness of percutaneous transluminal angioplasty (PTA) and stenting of left subclavian artery (LSA) stenosis in the patients with a left internal mammary artery (LIMA)-coronary artery bypass graft. Materials and Methods: From September 1998 to November 2005, significant proximal LSA stenoses were treated with PTA and stenting in 22 patients (15 men and 7 women) who had a prior LIMA-coronary artery bypass graft or who were willing to undergo LIMA-coronary artery bypass grafting. The technical success rates, complications and restenosis during the follow-up period were retrospectively evaluated. Results: Six patients had a prior LIMA bypass graft and 16 patients were treated before their coronary artery bypass surgery. The etiology of the LSA stenosis was atherosclerosis in all patients. Four patients were treated with PTA only, and stents were placed in 18 patients. Technical success was achieved in all patients. An embolism in the proximal LIMA occurred after stenting in one patient, and the LIMA was recanalized with transcatheter thrombolysis. During a mean follow-up of 30 months, only one patient was found to have recurrent LSA stenosis 29 months after stenting and this patient was successfully managed with angioplasty. Conclusion: Endovascular therapy is useful and efficacious for the treatment of LSA stenosis in patients with a LIMA-coronary artery bypass graft. 목적: 좌내유동맥-관상동맥 우회술을 시행 받았거나 받을 예정인 환자에게서 동반된 좌측 쇄골하동맥 협착에 대해 경피경관 혈관성형술과 스텐트 삽입술을 이용한 중재적 치료의 임상적 유용성을 알아보고자 하였다. 대상과 방법: 1998년 9월부터 2005년 11월까지 좌측 쇄골하동맥 협착으로 경피경관 혈관성형술이나 스텐트 삽입술을 시행 받은 환자 중에 좌내유동맥-관상동맥 우회술을 시행 받았거나 받을 예정인 환자 총 22명(남: 여=15:7, 평균 69.3세)을 대상으로 하였다. 쇄골하동맥 협착에 대한 중재적 치료의 기술적 성공률, 합병증 및 재협착 여부를 후향적으로 조사하였다. 결과: 대상환자 중 좌내유동맥-관상동맥 우회술을 시행 받은 환자는 6명, 받을 예정인 환자는 16명이었다. 좌측 쇄골하동맥의 협착원인은 모두 동맥경화성 병변이었다. 혈관성형술은 4예, 스텐트 삽입술은 18예에서 시행되었고 모든 예에서 기술적 성공을 보였다. 스텐트 삽입술 후 1예에서 좌내유동맥의 색전증이 발생하였으나 동맥 내 혈전용해제의 투여로 재개통되었다. 평균 30개월의 추적 관찰 기간 중, 1예에서 스텐트 삽입 29개월 후에 재협착이 발생하였으며 경피경관 혈관성형술로 치료하였다. 나머지 예에서는 심각한 합병증이나 재협착의 증거가 없었다. 결론: 좌내유동맥-관상동맥 우회술 환자에서 동반된 좌측 쇄골하동맥 협착에 대해 경피경관 혈관성형술과 스텐트 삽입술을 이용한 중재적 치료는 유용하고 효과적인 치료방법이다.
-
유리 횡복직근피판술을 이용한 유방의 재건에서 수혜부 혈관으로 내유방혈관 천공지의 사용
박명철,이정훈,정재호,이승헌,Park, Myong-Chul,Lee, Jung-Hoon,Chung, Jae-Ho,Lee, Sung-Hun 대한미세수술학회 2001 Archives of reconstructive microsurgery Vol.10 No.2
Breast reconstruction is an aesthetically critical procedure and should be peformed to match the opposite breast in shape, contour, and position. Many methods were introduced to reconstruct the breast with autogenous tissue. But, free tissue transfer for breast reconstruction has become common method. The transverse rectus abdominis myocutaneous flap technique has been a widely accepted method of breast reconstruction after mastectomy, since the first introduction of free abdominoplasty flap in 1979. In breast reconstruction with a free flap the selection of suitable recipient vessels remains one of the most critical decision for surgeon. The most common recipient site for free flap breast reconstruction is the axillar system. But, the use of the axillary system as a recipient site limits flap movement and flexibility in breast shaping. The use of internal mammary vessels as a recipient site be able to achieve ideal breast symmetry, but that technique require the rib resection. The selection of suitable recipient vessels is most important for successful free tissue transfer. We have performed breast reconstruction with TRAM flaps anastomozed to the internal mammary vessel perforator. We came to the conclusion that this vessel perforator is useful as a recipient site in cases of immediate breast reconstruction with free TRAM flap.
-
안희창,Ahn, Hee-Chang 대한미세수술학회 1999 Archives of reconstructive microsurgery Vol.8 No.2
In breast reconstruction with a free flap following mastectomy, the recipient vessels most widely used are in the axillary system, which limits flap movement and flexibility in breast shaping. In addition, scarring and fibrosis can make dissection of the vessels difficult. We have performed 43 breast reconstructions using a free transverse rectus abdominis myocutaneous(TRAM) flap. In 10 cases out of 20 delayed reconstruction, we anastomosed to the internal mammary vessels rather than subscapular system. There has been no flap failure. The surgical techniques, advantages and limitations of the internal mammary system are presented. The internal mammary vessel are compared with the axillary vessels as a recipient vascular system.
-
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
