폐동맥 가성동맥류에 대한 혈관내 트롬빈 주입 치료: 증례 보고 = Endovascular Thrombin Injection for a Pulmonary Artery Pseudoaneurysm: Case Report

다국어 초록 (Multilingual Abstract)

Massive hemoptysis caused by pulmonary artery pseudoaneurysms is uncommon, and endovascular treatment such as coil embolization is the first choice for treating pulmonary artery pseudoaneurysms. Various embolic agents could be used according to the angiographic findings, yet embolization with thrombin injection is very rare. Herein, we describe a case of a pulmonary artery pseudoaneurysm that was successfully treated by endovascular thrombin injection using a microcatheter because of the difficulty in performing a coil embolization due to a short feeding artery.

국문 초록 (Abstract)

대량 객혈을 일으킨 환자에서 원인으로 폐동맥 가성동맥류의 빈도는 드물며, 코일 색전술과 같은 경도관 색전술이 일차적인 치료 방법이다. 가성동맥류의 크기 및 해부학적 구조에 따라 다양한 색전 물질을 이용한 폐동맥 가성동맥류 치료의 보고가 있었으나 트롬빈 주입으로 치료한 예는 매우 드물다. 저자들은 폐동맥 가성동맥류의 치료에 있어서 짧은 영양동맥으로 인해 코일 색전술을 시행하기 어려운 경우 미세카테터를 이용한 혈관내 트롬빈 주입으로 폐동맥 가성동맥류를 성공적으로 치료하였기에 이를 보고하는 바이다.

참고문헌 (Reference)

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