http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
임근우,고용복,이종은,유승진 대한혈관외과학회 1989 Vascular Specialist International Vol.5 No.1
Aneurysms of the extracranial carotid arteries are rare vascular lesions but serious complications may result, eg. Rupture, thrombosis or ernboli. The majority of carotid aneruysms are due to atheroscleosis and the most common presenting manifestation is a painful pulsating mass in the neck. Most extracranial carotid aneurysms are confined to the level of the bifurcation and proximal segment of the internal carotid artery, and direct construction is preferable to ligation. Generally, surgical treatment is direct toward aneurysm resection with restoration of arterial continuity, while avoiding neurological complications from either low flow or thromboembolism. Routine use of an intraluminal shunt to maintain cerebral blood flow during reconstruction of the carotid artery has been advocatd in the past but may not be necessary. In the past 3 years the authors have experienced 3 cases of extracranial carotid artery aneurysms, who are all female and were treated surgically, successfully. The etiologies were atherosclerosis in all 3 cases and one non-specific inflammatory change in carotid artery was combined. The diagnosis was made by arteriography, CT and ultrasonogram. Each aneurysms were exposed through vertical incision, excised, and both ends were anastomosed with or without Goretex graft. Intraluminal shunt was used in one case and other 2 cases were tolerable to clamping of carotid artery. No neurologic deficits were developed. All patients were recovered uneventfully and are followed for 1 to 2 years without any complications.
Transplant Renal Artery Stenosis치험 예
임근우,고용복,신종태 대한혈관외과학회 1992 Vascular Specialist International Vol.8 No.1
Hypertension persists frequently among recipients of renal allografts with a reported incidence as high as 50-60%. Several etiologic factors have been clearly demonstrated, including retention of native kidney, acute and chronic glomerulonephritis, and transplant renal artery stenosis(TRAS). TRAS is suspected when refractory diastolic hypertension can not be controlled by antihypertensive medications and also impairing renal function is combined in cases of post renal transplantations. The incidence of transplant renal artery stenosis sufficient enough to yield hypertension was reported 3-12% of all renal transplants. Preoperative renal biopsy is considered mandatory to rule out possible chronic rejection before surgery. From March 1969 to December 1991, 710 renal transplants were performed at Dept, of Surgery, Catholic University medical College. Of 710 patients, we experienced 5 cases of transplnt renal artery stenosis. The diagnosis was confirmed by angiography and they received surgical repair. In our review, 1) 4 patients were male and 1 was female. 2) The incidence was 0.7%(5/710). 3) The cause of renal failure before kidney transplantation was chronic glomerulonephritis in all patients. 4) The patients presented refractory hypertension and their pretsplant serum Cr. Were more than 2.0 mg%. 5) The mean pr eod for development of the condition was 6-13 month from date of kidney transplantation ari one case was identified in postop. 46 months. 6) Autogenous vien roof patch angioplasties were performed in all patients, successful results in 4, failed in the other case due to chronic rejection.