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무수에탄올 및 젤폼을 사용한 가토 신동맥 색전술의 비교연구
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  • 무수에탄올 및 젤폼을 사용한 가토 신동맥 색전술의 비교연구
저자명
김태훈,유필문,최영희,김상준,이연희,김승철,서필원,명나혜,윤성철
간행물명
대한방사선의학회지
권/호정보
1996년|34권 4호|pp.473-480 (8 pages)
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대한영상의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

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.