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의인성 혈관 손상의 방사선학적 소견과 중재적 시술
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  • 의인성 혈관 손상의 방사선학적 소견과 중재적 시술
저자명
이경호
간행물명
대한방사선의학회지
권/호정보
1998년|38권 5호|pp.813-818 (6 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 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.