- 무수에탄올 및 젤폼을 사용한 가토 신동맥 색전술의 비교연구
- ㆍ 저자명
- 김태훈,유필문,최영희,김상준,이연희,김승철,서필원,명나혜,윤성철
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1996년|34권 4호|pp.473-480 (8 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Purpose : To evaluate the therapeutic effectiveness of absolute ethanol and gelfoam particles and the degree of vascular recanalization after gelfoam embolization. Materials and Methods : Transcatheter renal arterial embolization(TRAE) was performal in 16 rabbits ; Eight were embolized with absolute ethanol, and eight with gelfoam particles. Of this total, three died less than one week after embolization. Pre- and postembolization angiographies at five minutes, one week, two weeks (gelfoam group only) and 5-6 weeks after embolization were performed. Six rabbits were sacrificed at one week, and seven at 5-6 weeks after embolization. Pathologic examination was performed. Results : The ethanol group(n=6) showed complete occlusion of the main renal artery on follow-up angiography at one week and 5-6 weeks after embolization. The pathologic finding was complete total necrosis of embolized kidneys. The gelfoam group(n=7) showed partial recanalization of renal arteries in follow up angiography at one week, two weeks and 5-6 weeks after embolization. The pathologic finding was partial lysis of gelfoam particles within intrarenal arteries. Conclusion : Absolute ethanol can be used as a permanent embolic agent and gelfoam as a temporary such agent in various clinical applications. Gelfoam, however, did not show complete recanalization on angiography and pathology at six weeks after embolization.