• Title/Summary/Keyword: 정맥 유출

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Primary Intracardiac Hemangioma -1 case report- (원발성 심장 혈관종 -1례 보고-)

  • 임상현;장병철;이문형;조상호
    • Journal of Chest Surgery
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    • v.31 no.7
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    • pp.735-738
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    • 1998
  • Intracardiac hemangiomas are very rare primary cardiac tumor and there have been at least 37 reports of surgically resected cardiac hemangiomas. Most cardiac hemangiomas are asymptomatic. In symptomatic patients, symptoms are related to the location of tumor and outflow tract obstruction or obstruction of inferior and/or superior vena cava. Sudden death may occur due to conduction disturbances. The principle of treatment is surgical resection, and the prognosis is dependent upon the size, location and multiplicity of the tumor. A 40 year old man was admitted due to chest contusion and was found to have an intracardiac mass during echocardiographic examination. The mass was successfully removed and pathologic examination showed benign hemangioma. The patient was recovered uneventfully in postoperative period and was followed up for 1 year without evidence of recurrence.

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Meanings of Stereoview in Cerebral Angiogram (뇌혈관 조영술에서 입체촬영의 의의)

  • Cho, Soo-Ho;Chi, Yong-Chul
    • Journal of Yeungnam Medical Science
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    • v.2 no.1
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    • pp.53-57
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    • 1985
  • Many pictures must be taken for the presumption of the stereorelation of the cerebral artery, which obtained with ordinary cerebral angiography. And it is very difficult to understand the stereoimage and required many experiences. But it is able to presume the stereorelationship in only brief eye's training without the aid of the stereoscope using the prism. For the stereoview, we need the paired angiograms obtained only straight and tilting the X-ray tube. In practice, with this stereoview in cerebral angiogram, we could know the directions of the aneurysmal neck and fundus with the stereorelationship of the cerebral artery and indeed helps us greatly in operation field. In addition, we might guess the location and stereorelationships of the feeding artery and draining vein in arteriovenous malformation and other vascular tumors and it was great aid in diagnosis and operation. Now we present the methods of the pictures for the stereoview in cerebral angiogram and the methods for eye's training.

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Application of Veno-venoarterial Extracorporeal Membrane Oxygenation in Multitrauma Patient with ARDS - A case report - (다발성 외상으로 유발된 급성호흡부전증후군 환자에서 정맥-정맥동맥 체외막 산화기(ECMO)의 적용 - 1예 보고 -)

  • Lee, Sung Jun;Chee, Hyun Keun;Hwang, Jae Joon;Kim, Jun Seok;Lee, Song Am;Kim, Jin Sik
    • Journal of Chest Surgery
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    • v.43 no.1
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    • pp.104-107
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    • 2010
  • Acute respiratory distress syndrome (ARDS) is difficult to treat and it is often fatal. If the medical treatment for ARDS is not effective, then extracorporeal membrane oxygenation (ECMO) can be applied to the patient. A 22-year-old female who suffered multiple traumatic injuries due to a car accident presented with acute respiratory distress syndrome. Veinarterial extracorporeal membrane oxygenation (VA ECMO) was started to treat her respiratory failure. With the VA ECMO, the systemic oxygen saturation remained at only 84%, and so the ECMO system was switched to V-VA ECMO via an additional venous outflow through the right jugular vein to increase both the systemic and pulmonary oxygen saturation. After conversion to the V-VA type ECMO, the systemic oxygen saturation increased to 94% and the partial pressure of oxygen ($PaO_2$) increased to 65 mmHg. We report here on a successful case of ECMO conversion from the VA type to the V-VA type in a patient with severely hypoxic respiratory failure.

Denali Inferior Vena Cava Filter Retrieval: Complications and Success Rates (Denali 하대정맥 필터 제거: 합병증과 성공률)

  • Seoyun Choi;Kun Yung Kim;Hong Pil Hwang;Young Min Han
    • Journal of the Korean Society of Radiology
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    • v.84 no.4
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    • pp.879-888
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    • 2023
  • Purpose The present study was to evaluate the outcomes of Denali filter retrieval. Materials and Methods We retrospectively reviewed 143 patients who received Denali filter insertion from September 2015 to April 2020. Ninety-seven patients who required removal of the filters were include in this study. Filters were retrieved with either standard or advanced techniques. Venography before and after retrieval was obtained to evaluate technical success, complications and duration of filter insertion. Results All 97 filters were retrieved successfully without complications. Ninety-two (94.8%) were retrieved with standard technique and 5 filters (5.2%) required the advanced technique. There were two cases with a filter angle greater than 15 degrees. Inferior vena cava penetration was shown in 17 patients (17.5%) on venography but was not associated with contrast media extravasation after filter removal. Conclusion The Denali filter showed a high rate of successful retrieval without complications. This study adds value to previous studies and trials showing that the Denali filter is a reliable and safe filter that can potentially improve retrieval rates, with increasing use of this device.

Inhibitory Effects of CD99-derived Peptide CD99CRIII3 on the Extravasation of Monocytes and Inflammatory Reactions in Contact Dermatitis Mouse Model (접촉성 피부염 마우스 모델에서 단핵구의 유출 및 염증 반응에 대한 CD99-유래 펩타이드 CD99CRIII3의 억제 효과)

  • Ju, Hyun-Mi;Park, Kyeong-Han
    • Anatomy & Biological Anthropology
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    • v.31 no.4
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    • pp.143-149
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    • 2018
  • Leucocyte extravasation has been known to play an important role in inflammatory reactions including contact dermatitis. Previous studies suggested that CD99 regulates ${\beta}1$ integrin activity and may be a novel therapeutic target molecule for inflammatory diseases. In this study, the effects of CD99-derived peptide, CD99CRIII3, on inflammatory reactions in contact dermatitis mouse model were investigated. CD99CRIII3 decreased ${\beta}1$-integrin activity in human monocytic U937 cells. CD99CRIII3 inhibited the adhesion of U937 monocytes to human umbilical vein endothelial cells and their extravasation through human umbilical vein endothelial cells. CD99CRIII3 reduced inflammation in the phorbol myristate acetate-induced contact dermatitis mice in a dose-dependent manner. These results indicate that CD99CRIII3 suppresses the extravasation of monocytes and inflammatory reactions in the animal model of the contact dermatitis, suggesting that CD99CRIII3 could be a new drug candidate against inflammatory skin diseases.

바이오 정보를 이용한 U-Healthcare 인증방안 연구

  • Kim, Jason;Kim, Young-Jun
    • Review of KIISC
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    • v.17 no.1
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    • pp.57-62
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    • 2007
  • 본 논문에서는 바이오인식 정보 기술(얼굴, 정맥, 지문, 홍채)을 이용하여 신뢰성 있는 Ubiquitous-Healthcare(U-HC) 서비스를 지원하는 사용자 인종 메커니즘과 암호화 기법을 제안한다. U-HC 서비스에 태동 및 특징, 국내외 산업현황, 기대효과 등을 통해 U-HC서비스의 필요성을 강조하고 있다. 하지만 지능화 및 고도화된 기술을 통하여 개인 정보를 악의적인 의도로 유출하여 개인에게 육체적 정신적 경제적 피해를 주고 있다. 바이오인식은 이러한 피해를 막고 보안 및 프라이버시 측면의 취약점 및 공격들을 분석하여 효율적으로 방어함으로서 개인의 의료정보 및 바이오 정보를 보호하기 위한 대응책인 새로운 사용자 인증과 암호화 기법이다. 사용자 인증 기법은 다수의 바이오 정보들을 인증 시에 무작위로 선택하여 2개 이상 입력하는 방안이며 암호화 기법은 사용자 스토리(Story)식 암호화(Encryption) 기법을 제안한다. 이러한 방법론을 통하여 효율적이며 신뢰 성 있는 U-HC 서비스를 보장하고자 한다.

Right Ventricular Outflow Tract Reconstruction with Bovine Jugular Venous Valved Conduit. (소경정맥 판막도관을 이용한 우심실 유출로 재건술)

  • 박형주
    • Journal of Chest Surgery
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    • v.33 no.10
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    • pp.830-833
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    • 2000
  • Homograft has been the conduit of choice in various types of congenital malformations which require right ventricular outflow tract reconstruction. However it has been proven to be less than ideal in young age group because of early failure of the conduite due to valve dysfunction and calcification. Furthermore limitation of availability of homograft particularly small sized conduits for neonates and infants is the most serious problem. A 19 month old female patient with pulmonary atresia and ventricular septal defect was operated on with a bovine jugular venous valved conduit as an alternative to the homograft for her right ventricular outflow tract reconstruction. Postoperative hemodynamic performance of the conduit was excellent without pressure gradient or valve regurgitation. With this early result bovine jugular venous valved conduit seems to be another excellent conduit because of good hemodynamics and size availability but long term follow up is necessary.

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차세대 핀테크 인증 기술

  • Kim, Su-Hyeong;No, Jong-Hyeok;Kim, Yeong-Sam
    • Information and Communications Magazine
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    • v.34 no.3
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    • pp.29-36
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    • 2017
  • 모바일 결제, 스마트 뱅킹 등 우리 생활의 일상적인 금융 업무에서 차별화된 편의성을 제공하기 시작한 핀테크 서비스는 사람들의 높은 관심을 받고 빠르게 확산되고 있다. 고도화된 해킹, 정보 유출 등 보안사고가 빈번하게 발생하고 있는 현재의 ICT 서비스 환경에서도 전자금융 서비스가 보안 이외에 소비자의 이용 편의에 관심을 갖고 서비스할 수 있도록 지원한 대표적인 보안 기술은 글로벌 표준으로 자리잡은 FIDO 인증 기술이다. FIDO는 지문, 홍채, 정맥 등 높은 보안성과 편의성을 갖춘 다양한 인증 수단을 지원하여 패스워드와 같은 기존 인증 수단을 빠르게 대체하고 있는 중이다. 본고에서는 현재 상용화 적용되어 보편적인 인증플랫폼으로 자리잡기 시작한 FIDO의 추가적인 인증 요소로서 활용되어 보안을 좀 더 강화할 수 있는 상황인지 기반 인증 기술에 대해 소개하고자 한다. 본 고에서 소개되는 상황인지 기반 인증 기술은 사용자의 고유한 행동적 특징과 환경적 특징을 기계학습 기법을 통해 분석하여 사용자 본인여부를 확인할 수 있는 기술로 사용자에게 명시적인 인증 절차를 요구하지 않아 이용 불편 없이 기존 서비스에 쉽게 적용될 수 있고, 타인이 위조하기 어려운 행동 및 환경적 특징을 활용하는 장점을 갖고 있어 향후 핀테크 서비스의 보안을 한단계 끌어 올려줄 기술로 활용이 기대된다.

Transvenous Balloon Valvuloplasty through Femoral Vein in a French Bulldog with Pulmonic Stenosis (대퇴정맥을 통한 풍선확장술로 치료한 프렌치불독의 폐동맥협착증 치료증례)

  • Choi, Ran;Suh, Sang-Il;Choi, Seo-Young;Hyun, Changbaig
    • Journal of Veterinary Clinics
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    • v.32 no.4
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    • pp.334-337
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    • 2015
  • A 9-month-old castrated male French Bulldog (13 kg of body weight) was presented with the primary complaint of loud heart murmur and exercise intolerance. Diagnostic imaging studies found severe pulmonic stenosis (peak velocity > 5 m/s) with right ventricular hypertrophy. Because of higher pressure gradient between right ventricle and right ventricular outflow tract (> 100 mmHg), the dog was underwent balloon valvuloplasty through femoral vein. After procedure, the peak pulmonic velocity was reduced to 2.1 m/s (PG = 18 mmHg). Further follow-up study found no further deterioration, for 6 months to date. This is the first case report of pulmonic stenosis treated by transvenous balloon valvuloplasty through femoral vein in Korea.

Spontaneous Resolution of Iatrogenic Calcinosis Cutis after Parenteral Calcium Gluconate Therapy in Neonates (신생아에서 비경구적 칼슘 글루코네이트 요법 이후의 의인성 피부 석회침착증 후 자연관해)

  • Song, Kwang Soon;Lee, Si Wook;Kim, Du-Han;Min, Kyung-Keun;Yon, Chang Jin
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.2
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    • pp.192-196
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    • 2019
  • Iatrogenic calcinosis cutis is due to the intravenous administration of calcium gluconate or calcium chloride to treat hypocalcemia. The arthors report three cases of calcinosis cutis with calcifications involving the upper or lower extremities in neonates following the extravasation of calcium gluconate. Three neonates, a 2-week-old girl, 4-week-old boy, and a 4-week-old girl, were consulted for indurated nodules after the intravenous administration of calcium gluconate at the intensive care unit. Complete remission of palpable nodule and calcification was observed on the radiograph at three weeks, four weeks and six months after the initial presentation in each. All three neonates with iatrogenic calcinosis curtis were resolved spontaneously without functional and cosmetic complications. According to enhancement of the patient's cognition about benign disease, a suitable explanation of the disease and avoiding unnecessary treatment through an early diagnosis of iatrogenic calcinosis cutis will reduce a number of potential medical malpractice disputes.