• 제목/요약/키워드: Intravascular

검색결과 271건 처리시간 0.031초

Multi-vessel intractable coronary spasm development in a patient with aborted sudden cardiac death: a case study with intravascular ultrasound findings

  • Cho, Sungsoo;Kang, Tae Soo
    • Journal of Yeungnam Medical Science
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    • 제35권1호
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    • pp.121-126
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    • 2018
  • Coronary spasm generally occurs in patients with minimal atherosclerotic plaque lesion, and it has a rather favorable prognosis. However, in some cases, coronary spasm may induce myocardial infarction and even sudden cardiac death (SCD). Here, we report a case in which multi-vessel intractable coronary vasospasm suddenly occurred in a diffuse atherosclerotic lesion after percutaneous coronary intervention (PCI) in a patient with aborted SCD. We identified the characteristics of the spasm portion in intravascular ultrasound (IVUS) images and conducted percutaneous cardiopulmonary bypass support-PCI with stenting as treatment. Intima and media thickening and a large attenuated plaque burden with rupture were identified in IVUS images at the obstructive spasm portion.

Intravascular papillary endothelial hyperplasia (Masson's hemangioma) of the face

  • Han, Jin Woo;Lee, Jong Hun;Kim, Eun Kyung
    • 대한두개안면성형외과학회지
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    • 제20권2호
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    • pp.109-111
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    • 2019
  • Intravascular papillary endothelial hyperplasia or Masson's hemangioma is a rare vascular tumor. The reactive proliferation of endothelial cells in this disease mimics other benign or malignant vascular proliferation such as angiosarcoma or Kaposi's sarcoma. It is important to make an accurate distinction to avoid confusion with these malignant tumors. This would facilitate a proper diagnosis, which is essential so that the patient is not subjected to unnecessarily aggressive or inappropriate treatment.

계지복령환약침(桂枝茯笭丸藥鍼)이 Endotoxin으로 유발(誘發)된 흰쥐의 혈전증(血栓症)에 미치는 영향(影響) (Effects of Guizibokryungwhan Herbal-Acupuncture on the Intravascular Coagulation Induced by Endotoxin in Rats)

  • 이인호;이경섭;송병기
    • 대한약침학회지
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    • 제2권1호
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    • pp.51-62
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    • 1999
  • This study was designed to investigate the effects of Guizibokryungwhan Herbal-acupuncture on the intravascular coagulation. At first 36 mice were divided normal group(n=6) and experimental group(n=30). Normal group had no treatment and experimental group was induced intravascular coagulation by injected endotoxin 0.5mg/kg into the caudal vein. The experimental group was divided Sample-A(n=12), Sarnple- B(n=12) and control group(n=6). Control group was administrated normal saline. Sample-A was injected Guizibokryungwhan Herbal-acupuncture manufactured by extraction method and Sample-B was injected Guizibokryungwhan Herbal-acupuncture manufactured by water-alcohol method. Then Sample-A and Sample-B was injected high and low concentration. All treatments were done to Kwanwon acupuncture point once a day for 5 days s.c.. The results were following. 1. Compared with the control group, the platelet count was significantly increased in high-concentrated Sample-A and Sample-B group. 2. Compared with the control group, the concentration of fibrinogen was significantly increased in all experimental groups. 3. The prothrombin time was sjgnificantly shortened in high-concentrated Sample-A and Sample-B group as compared with the control group. 4. The activated partial thromboplastin time was significantly shortened in high-concentrated Sample-A group as compared with the control group. 5. The Guizibokryungwhan Herbal-acupuncture has a concentration-dependent effects on the intravascular coagulation.

생혈구분석을 통한 He-Ne laser 정맥혈관내 조사의 효과 (Effect of He-Ne laser intravascular irradiation by live blood analysis)

  • 공민준;안종석;유호룡;김용진;배경일;김윤식;설인찬
    • 대한한방내과학회지
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    • 제21권5호
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    • pp.705-713
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    • 2000
  • Objectives : The purpose of this study was to investigate the effect of Intravascular Laser Irradiation of Blood(ILlB) by the live blood analysis. Methods : We had analysed the changing forms of the live blood samples with Ultra Darkfield Microscope before and after Intravascular Laser Irradiation of Blood. Results : 1. Somatid did not showed significant change. 2. In the rouleau of red blood cells was decreased significantly. 3. In the morphological change of red blood cells, Burr cell, Ovalocyte and Poikilocyte were decreased significantly, but Acanthocyte and Target cell were increased significantly. 4. In the abnormal matters in plasma, the Cholesterol cristal did not showed significant change, but the Aggregation of platelet, Lipids, Spicule, Leucocyte, Uric acid cristal did showed a little significant decrease. Conclusion : These findings suggest that live blood analysis is useful to judge the effect of treatment and diagnosis in oriental medicine, and with the effect of Intravascular Laser Irradiation of Blood, it had showed significant effect on rouleau of red blood cells, morphological change of red blood cells and abnormal matters in plasma.

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실시간 혈관내초음파 영상을 위한 후단부 시스템 구현 (Implementation of a backend system for real-time intravascular ultrasound imaging)

  • 박준원;문주영;이준수;장진호
    • 한국음향학회지
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    • 제37권4호
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    • pp.215-222
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    • 2018
  • 본 논문은 실시간 혈관내초음파 영상을 위한 후단부 시스템 개발과 성능 평가 결과에 관한 것이다. 개발한 후단부 시스템은 로직 사용량과 메모리 사용량을 최소화할 수 있는 효율적인 LUTs (Look-up Tables)을 사용하여 외부 메모리 없이 하나의 FPGA (Field Programmable Gate Array)만으로 시스템을 구성함으로써 시스템의 저비용, 소형화, 경량화가 가능하도록 설계하였다. 구현한 후단부 시스템의 정확도는 FPGA의 출력값과 VHDL (VHSIC Hardware Description Language) 코드를 MATLAB 프로그램을 사용하여 동일하게 구현하여 얻은 결과를 비교함으로써 검증하였다. 토끼 동맥을 이용한 ex-vivo 실험을 통하여 개발한 후단부 시스템이 실시간 혈관내초음파 영상에 적합함을 확인하였다.

홍등탕(紅藤湯)이 내독소로 유발된 파종성혈관내응고증에 미치는 영향 (The Effect of Hongdeung-tang on Endoxotin-induced Disseminated Intravascular Coagulation)

  • 임은미;조영래
    • 대한한방부인과학회지
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    • 제19권1호
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    • pp.139-154
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    • 2006
  • Objective : This experimental study was carried out to investigate anti-coagulation effects and mechanism of Hongdeung-tang on the dissentimenated intravascular coagulation Methods : Each 10 rats were classified as normal gorup, control group and treated group. The control group was given a 0.5mg/ml endotoxin intra-vein injection and was occurred Disseminated Intravascular Coagulation(DIC). The treated group were orally administrated 1ml Hongdeung-tang concentration once a day for 6 days and then it was treated the same as the control group. We took the blood from heart and were investigated number of Platelet and white blood cell(WBC), fibrinogen concentration, prothrombin time(PT), activated partial thromboplastin time(APTT), interleukin-6(IL-6), Tumor Necrosis $Factor-{\alpha}(TNF-{\alpha})$, Prostaglandin $E2(PGE_2)$ from them. Results : There were a statistically significant increase of platelet and fibrinogen concentration in the treated group compared to the treated group. The PT was a significantly reduced in treated group compared to the control group. There was no significant change in numbers of WBC and APTT between control and treated group. On the contrary, the number of PT, IL-6, $TNF-{\alpha}$, $PGE_2$ were significantly decreased in treated group compared to the control group. Conclusion : DIC which was occurred by endotoxin intravenous injection seems to related to the increase of IL-6, $TNF-{\alpha}$, $PGE_2$ and Hongdeung-tang has an effect that supress those factors. we can assume Hongdeung-tang has an anti-coagulation effect by those supressing effect.

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과루지실탕(瓜蔞枳實湯) 및 그 가미방(加味方)이 ENDOTOXIN으로 유발(誘發)된 혈전(血栓)에 미치는 영향(影響) (Effect of Gwaluzisiltang and Gwaluzisiltanggami on the Intravascular coagulation induced by Endotoxin in Rats)

  • 이상권;김준기;박원환;최달영;문준전
    • 동국한의학연구소논문집
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    • 제2권1호
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    • pp.107-125
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    • 1993
  • This study was performed to investigate the effects of Gwaluzisiltang and Gwaluzisiltanggami on the intravascular coagulation. The experimental group divided two groups : one group was the intravascular coagulation induced by endotoxin in rats, another group was the formation of paw edema by contusion in rats, and then these rats were treated with liquid extract of Gwaluzisiltang(Sample I) and Gwaluzisiltanggami(Sample II), which were administered orally. Then the numbers of platelets, concentration of fibrinogen, Prothrombin time and FDP(fibrin-fibrinogen degradation Products)were measured. The results were as follows : 1. The effects of the Intravascular coagulation 1) Platelet was increased significantly in the sample I compared with control group. 2) Fibrinogen was increased significantly in the sample I compared with control group. 3) Prothrombin time was shortened significantly in the sample I and more shortened in the sample II compared with control group. 4) FDP was decreased significantly in the sample I and more decreased in the samplem II compared with control group. 2. The effect of the formation of paw edema by contusion in rats. 1) The rate of paw edem was decreased significantly after five hours in the sample I 2) Platelet was increased significantly in the sample I compared with control group. 3) Fibrinogen was decreased in the sample I and sample II compared with control group, but it is not significant 4) Prothrombin time was shortened significantly in the sample II compared with control group. According to the above results, it is considered that the Gwaluzisiltang and Gwaluzisiltanggami seem to be applicable disease related to thrombosis, because they obtained significant effects on the experimental method which are based on the oriental medical theory-the principle of phlegm and blood stasis have the same source and disease (痰瘀同源, 痰瘀同病).

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전완부에 발생한 내혈관 유두내피 증식증(Masson 혈관종) (Intravascular Papillary Endothelial Hyperplasia (Masson's hemangioma) Presenting as a Forearm Mass)

  • 전영수;유기형;김상환
    • 대한골관절종양학회지
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    • 제15권1호
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    • pp.59-64
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    • 2009
  • 내혈관 유두내피 증식증 (Masson 혈관종)은 피부나 피하조직에 주로 발생하는 흔하지 않은 양성의 혈관 병변으로 혈관 내피세포의 과도한 증식으로 발생할 수 있다. 이 질환은 정상 또는 기형적인 혈관에서 일차적으로 발생할 수 있으며, 혈관종, 화농성 육아종, 또는 림프관종등과 동반될 수 있다. 혈관내 유두상 내피성 과형성증은 임상적, 조직학적으로 저등급의 혈관육종으로 오인하여 진단, 치료할 수 있으므로 감별하여야 한다. 저자는 27세 환자가 전완부의 종물을 주소로 내원하여 상기 병명으로 진단한 예를 경험하였기에 문헌 고찰과 함께 이를 보고하는 바이다.

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고속 내시경적 OFDI 시스템 개발과 이를 이용한 3차원 생체 혈관 내부 이미징 (Development of a High-Speed Endoscopic OCT System and Its Application to Three-Dimensional Intravascular Imaging in Vivo)

  • 조한샘;장선주;오왕열
    • 한국광학회지
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    • 제25권2호
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    • pp.67-71
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    • 2014
  • 혈관 내 OCT (optical coherence tomography) 는 혈관 벽 내부의 3차원적 미세구조를 영상화할 수 있어서 임상에서 각광을 받고 있다. 하지만 아직도 충분하지 못한 이미징 속도, 특히 내시경 프로브의 이미징 광 스캐닝 속도의 부족으로 혈관 길이 방향의 이미징 간격이 실제 시스템의 광학적 해상도보다 5배 이상 커서 혈관 종방향으로의 고해상도 이미징이 얻어지지 못하고 있는 상황이다. 본 논문에서는 초당 350장의 혈관 벽 단층 영상을 제공하는 고속 혈관 내 OCT 시스템을 기술한다. 본 시스템과 내시경 장치를 이용하여 47 mm 길이의 살아있는 토끼 대동맥을 3.7초만에 34 micron의 혈관 종방향 간격으로 얻는데 성공하였다. 34 micron의 종방향 간격은 실제 내시경의 그 방향 광학적 해상도와 비슷한 정도로서 3차원 모든 방향으로의 고해상도 이미징을 구현하였음을 보여준다. 얻어진 이미징 데이터의 3차원 영상 구현을 통해 혈관의 미세구조 및 이미징 전 삽입된 스텐트의 자세한 구조를 보였다.