Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Usefulness of Virtual Fluoroscopy in Emergency Interventional Radiology

응급 인터벤션 영상의학에서 가상 투시영상 검사의 유용성

  • Yoshihiro Tanaka (Department of Radiology, National Hospital Organization Mito Medical Center) ;
  • Akitoshi Oosone (Department of Radiology, National Hospital Organization Mito Medical Center) ;
  • Asuka Tsuchiya (Department of Emergency and Critical Care Medicine, National Hospital Organization Mito Medical Center)
  • Received : 2019.03.21
  • Accepted : 2019.09.04
  • Published : 2020.07.01
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Abstract

Interventional radiology (IR) embolization requires image guidance to steer catheters to the site of bleeding, where embolic agents such as Gelfoam or coils are administered to stem blood flow. In addition to treating iatrogenic trauma, embolization is suitable for injuries precluding surgery such as blush-bleeding of the liver or kidney and for locating and treating intimal blood vessel tears. However, during hospital off-hours (such as nights and holidays), experienced IR personnel are not always available. In such situations, there is a dire need to build a coordinated IR team to treat seriously injured patients rapidly and reliably. This article reviews the current principles and techniques used in IR such as virtual fluoroscopy and their usefulness, and makes a convincing case for emergency IR.

인터벤션 색전술은 영상 유도하에 카테터를 출혈 부위에 위치하고, 젤폼 또는 코일 등의 색전 물질을 사용해서 출혈을 막는다. 의인성 외상을 치료하는 것 이외에, 수술이 불가능한 간 및 신장의 출혈(blush-bleeding) 및 혈관 손상을 진단하고 치료하는 데에 유용하다. 그러나 병원 일과 시간이 아닌 경우, 숙련된 인터벤션 의료팀이 항상 준비되어 있지는 않다. 이러한 상황에서 인터벤션 팀의 협업은 심각한 손상을 입은 환자를 빠르게 치료하는데 꼭 필요하다. 이 논문은 가상 투시장비 검사의 유용성에 대한 현재의 원칙과 기술을 검토하고 응급 인터벤션 시술에서 유용한 사례들을 제시하고자 한다.

Keywords

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