- 의인성 혈관 손상의 방사선학적 소견과 중재적 시술
- ㆍ 저자명
- 이경호
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1998년|38권 5호|pp.813-818 (6 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Purpose : To evaluate the radiological findings and effectiveness of radiological interventions in patientswith iatrogenic vascular injuries. Materials and Methods : We analyzed 50 patients with iatrogenic vascularinjuries treated with radiological intervention. The causes of injuries were surgery(n=20), cardiovascularintervention(n=15), non-cardiovascular radiological intervention(n=14), and endoscopic intervention(n=1). Theinjury had resulted in hemorrhage in 35 cases. The iliac and/or femoral, hepatic, and renal vessels were commonlyinjured. Angiography, ultrasonography with Doppler examination, CT, and CT angiography were performed to diagnosevascular injuries and guide the radiological intervention. The mean follow-up period was 23 months and in 16 caseswas more than one year. Results : The major radiological findings were extravasation, pseudoaneurysm,arteriovenous shunt, or vascular obstruction. To control these lesions, radiological interventions such asembolization(n=36), local urokinase administration, stent insertion, foreign body removal, ultrasonography-guidedcompression, or stent-graft insertion were performed. The clinical problems were immediately controlled by thesingle trials of radiological interventions and did not recur in 40 cases (80%). Conclusion : Radiologicalexaminations and interventions are useful in cases with iatrogenic vascular injuries.