• Title/Summary/Keyword: Retrograde

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Endovascular Aortic Balloon Clamping for Various Heart Disease (대동맥 내 풍선 차단법을 이용한 여러 가지 심장수술)

  • Choi, Jin-Ho;Park, Pyo-Won
    • Journal of Chest Surgery
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    • v.41 no.1
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    • pp.61-67
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    • 2008
  • Background: Conventional ascending aortic cross clamping is often limited. This study was carried out to evaluate the safety and efficacy of an endovascular aortic clamping technique with an intraaortic balloon catheter. Material and Method: From April 2004 to January 2007, surgery with endoaortic clamping was performed in seven patients. A retrograde access perfusion (RAP) catheter was used in six patients and a Pruitt's balloon catheter in two patients. The indication for the operation was a retrosternal pseudoaneurysm of the aortic root in six patients, diffuse calcification of the ascending aorta with aortic regurgitation in 2 patients and an atrial septal defect in one patient. Five patients had at least two prior cardiac surgeries. Result: Successful insertion of the catheter and endoaortic clamping was achieved in all patients. Conclusion: The endovascular aortic clamping technique with a balloon catheter was a useful alternative method for patients in whom conventional cardiac surgery was limited.

Analysis of the Lower Extremity Reconstruction with Free Tissue Transfer in Recent 5 Years (최근 5년간 유리 피판술을 이용한 하지재건의 분석)

  • Baek, Seong-Jun;Heo, Chan-Yeong;Oh, Kap-Sung
    • Archives of Reconstructive Microsurgery
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    • v.8 no.2
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    • pp.130-138
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    • 1999
  • The lower extremity injuries are extremely increasing with the development of industrial & transportational technology. For the lower extremity injuries that result from high-energy forces, particularly those in which soft tissue and large segments of bone have been destroyed and there is some degree of vascular compromise, the problems in reconstruction are major and more complex. In such cases local muscle coverage is probably unsuccessful, because adjacent muscles are destroyed much more than one can initially expect. Reconstruction of the lower extremity has been planned by dividing the lower leg into three parts traditionally The flaps available in each of the three parts are gastrocnemius flap for proximal one third, soleus flap for middle one third and free flap transfer for lower one third. Microvascular surgery can provide the necessary soft tissue coverage from the remote donnor area by free flap transfer into the defect. Correct selection of the appropriate recipient vessels is difficult and remains the most important factor in successful free flap transfer. Vascular anastomosis to recipient vessels distal to the zone of injury has been advocated and retrograde flow flaps are well established in island flaps. Retrograde flow anastomosis could not interrupt the major blood vessels which were essential for survival of the distal limb, the compromise of fracture or wound healing might be prevented. During 5 years, from March 1993 to Feb. 1998, we have done 68 free flap transfers in 61 patients to reconstruct the lower extremity. From analysis of the cases, we concluded that for the reconstruction of the lower extremity, free flap transfer yields a more esthetic and functional results.

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CLEANLINESS AND WALL MOPHOLOGY OF ULTRASONIC ROOT-END RETROGRADE CAVITY (초음파로 형성된 치근단 역충전와동의 정화도 및 와벽형태)

  • Kim, Sung-Kyo;Lee, Jae-Whan;Baek, Seung-Moo
    • Restorative Dentistry and Endodontics
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    • v.22 no.2
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    • pp.536-545
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    • 1997
  • The purposes of this study were to evaluate the degree of cavity cleanliness and to observe cavity wall morphology when root-end retrograde cavity preparation was done with ultrasonics. Root resections were done on 20 extracted human maxillary central incisors after canal filling with gutta-percha, and retrocavities were prepared using a slow-speed round bur as a control, and stainless steel ultrasonic tips of power settings of 2 and 6 ($Miniendo^{TM}$, EIE, SA, USA) as experimentals. The degree of the remaining cavity debris and smear layer, and wall morphology were evaluated under the scanning electron microscope. The results were as follows : Cavity prepared with ultrasonics of either power setting showed significantly less smear layer than did slow-speed preparations (p<0.01). However, there was no significant difference in canal debris (p<0.05). Cavity prepared with ultrasonics showed hatcheted appearance of wall, while slow-speed preparation showed relatively plain one.

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Effect of Retrograde Restraint of Rice Cake Using Raw Starch Saccharifying ${\beta}-amylase$ from Bacillus polymyxa No. 26 (Bacillus polymyxa No. 26의 생전분 당화형 ${\beta}-amylase$를 이용한 떡의 노화억제효과)

  • Sohn, Cheon-Bae;Lee, Sang-Mee
    • Korean Journal of Food Science and Technology
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    • v.26 no.4
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    • pp.459-463
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    • 1994
  • To improve the quality of rice-cake(Cholpyon), raw starch saccharifying (${\beta}-amylase$ from Bacillus polymyxa No. 26 was used in process of raw rice-cake production. 30g of raw rice flour was incubated with $0{\sim}1,200$ RS units of the enzyme for 5 hr at $45^{\circ}C$, and then steamed and stored for 40 hr at $4^{\circ}C$. In instrumental analysis, control group, which was incubated without addition of (${\beta}-amylase$, was completely hardened after incubation for $12{\sim}24$ hr at $4^{\circ}C$. In contrast, enzyme-treated group was not retrograded, and showed a great differences in hardness, cohesiveness and chewiness. On the other hand, in sensory analysis, the effect of the enzyme treatment was higher values of hardness, moistness, and sweetness than these of control group. Therefore, these results clearly suggested that ${\beta}-amylase$ was fully active to degrade raw rice starch in process of rice-cake production, resulting in improvement of starch retrogradation, good digestibility, and taste.

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Rotational Properties of the Maria Asteroid Family

  • Kim, Myung-Jin;Choi, Young-Jun;Moon, Hong-Kyu;Byun, Yong-Ik;Brosch, Noah;Kaplan, Murat;Kaynar, Suleyman;Uysal, Omer;Guzel, Eda;Behrend, Raoul;Yoon, Joh-Na;Mottola, Stefano;Hellmich, Stephan;Hinse, Tobias C.;Eker, Zeki;Park, Jang-Hyun
    • The Bulletin of The Korean Astronomical Society
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    • v.39 no.1
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    • pp.66.2-66.2
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    • 2014
  • We carried out photometric observations of Maria family asteroids during 134 nights spanning from July 2008 to May 2013, and derived synodic rotational periods for 51 objects including obtained periods of 34 asteroids for the first time. In this study, we found that there is a significant excess of fast and slow rotators. The one-sample Kolmogorov-Smirnov test confirms that the spin rate distribution is not consistent with the Maxwellian at a 92% confidence level. From the correlations between rotational period, amplitude of lightcurve, and size, we conclude that rotational properties of Maria family have been changed considerably by the non-gravitational force such as the Yarkovsky and the YORP effect. Using the lightcurve inversion method, we successfully determined the pole orientation for the 13 Maria members, and found the excess of prograde objects versus retrograde with a ratio ($N_p/N_r$) of 3. This implies that retrograde rotators could have been ejected by the 3:1 resonance to the inner Solar System since the generation of Maria family. We estimate that approximately 37 - 75 kilometer-sized Maria asteroids have entered to near-Earth space every 100 Myr.

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The Projection from the Lateral Reticular Nucleus to the Cerebellar Vermal Lobule VI in the Rat: A Retrograde Labelling Study Using Horseradish Peroxidase (쥐의 외측 망상핵으로부터 소뇌충부 제6엽 내의 각 소엽으로 신경 경로에 관한 연구)

  • 이현숙
    • The Korean Journal of Zoology
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    • v.39 no.1
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    • pp.26-35
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    • 1996
  • The projection from the lateral reticular nucleus (LRN) to three subdivisions of the cerebellar vermal lobule VI was studied in the rat by utilizing the retrograde transport of wheatgerm agglutinin-conjugated horseradish peroxidase. Labelled neurons were located bilaterally throughout the LRN, but with ipsilateral predominance. There seemed to be a dorsal4o-ventral transition in the ipsilateral magnocellular neurons projecting to the cerebellar vermal lobules VIa-to-Vic. In the contralateral side, cells projecting to vermal lobule Via were observed at more rostral sections, whereas those projecting to lobule Vic were located at caudal sections. There were relatively few labelled neurons in parvocellular or subtrigeminal divisions at either side. Computer-aided three dimensional reconstruction of LRN projections to lobules Via/Vib or lobules Vib/Vic exhibited extensive oberlap within each combination of injection cases.

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A STUDY ON THE MICROLEAKAGE OF RETROFILLED TEETH WITH VARIOUS MATERIALS AND INSTRUMENTS FOR CAVITY PREPARATION (역행충전시 와동형성 기구 및 수복재에 따른 변연누출에 관한 연구)

  • Lee, Jae-Yong;Cho, In-Ho;Hong, Chan-Ui;Shin, Dong-Hoon
    • Restorative Dentistry and Endodontics
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    • v.18 no.1
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    • pp.187-196
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    • 1993
  • The purpose of this study was to evaluate the microleakage of retrofilled teeth with various materials [non-zinc Amalgam, IRM, Ketac-silver, CGP(cold-burnished, ultrafil)[and instruments for cavity preparation. Root apex were resected 2mm from apex horizontally and class I cavities were prepared in 2mm denpth, 1.5mm width and were filled with above mentioned materials. Root apex were resected 2mm from apex horizontally and class I cavities were prepared in 2mm depth, 1. 5mm width and were filled with above mentioned materials. 2% methylene blue dye solution was used for 4 days immersion and the linear leakage was measured with calipers and the volumetric leakage was determined with a spectrophotometer. The results were as follows : 1. Amalgam group showed the greatest amount of leakage and Ketac-silver group showed the least value. 2. By linear leakage test, the group retrofilled with Ketac-silver, or CGP showed better seal than the group of Amalgam or IRM. This was shown in both retrograde tip and Conventional method. 3. By volumetric leakage test, the group retrofilled with Ketac-silver showed significantly better seal than the group with IRM in retrograde tip method. 4. By volumetric leakage test, the group retrofilled with Ketac-silver showed significantly better seal than the group with Amalgam in the Conventional method.

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CLEANLINESS AND WALL MORPHOLOGY OF ROOT-END RETROGRADE CAVITY MADE BY ULTRASONIC DIAMOND INSTRUMENTS (초음파 다이아몬드 기구로 형성된 치근단 역충전 와동의 정화도 및 와벽형태)

  • Kim, Sung-Kyo;Lim, Choon-Hee;Kwon, Tae-Kyung
    • Restorative Dentistry and Endodontics
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    • v.23 no.1
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    • pp.515-524
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    • 1998
  • The purposes of this study were to observe the cavity wall morphology and to evaluate the degree of cavity cleanliness when root-end retrograde cavity preparation was done with ultrasonic diamond instruments. To observe the morphology of retrocavity and to evaluate the degree of cavity cleanliness. root-end resections were done on 20 palatal roots of extracted maxillary first molars after canal filling with gutta-percha. Retrocavities were prepared using either ultrasonic diamond instruments or stainless steel ones of medium power setting of level 6 ($Miniendo^{TM}$, EIE, CA, U.S.A.). Morphology of the cavity. degrees of the remaining canal debris and smear layer were evaluated under the scanning electron microscope. The results were as follows: Cavities prepared with ultrasonic diamond instruments showed scratched appearance of wall, while ultrasonic stainless steel preparation showed hatcheted appearance. Ultrasonic diamond instruments induced more smear layer than stainless steel ones did (p<0.01) in the cavity. However, there was no significant difference in canal debris (p>0.05).

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FINITE ELEMENT ANALYSIS OF STRESS DISTRIBUTION IN ROOT-END RESECTED TEETH (유한요소법을 이용한 치근단절제술후 근첨의 응력분포에 관한 연구)

  • Lee, Se-Joon;Choi, Ho-Young;Min, Byung-Soon;Park, Sang-Jin;Choi, Gi-Woon
    • Restorative Dentistry and Endodontics
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    • v.23 no.1
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    • pp.163-174
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    • 1998
  • The purpose of this study is to evaluate the distribution of stress in the root end resected teeth. The finite element method was used to compare stresses along the root and retrograde filling material in seven two-dimensional models of mandibular 2nd premolar. Each model was endodontic treatment and gold crown' restoration. Each model divided with amagam core restoration or gold casting post restoration. Thus each model divided with shape of root end resection, depth of retropreparation and exposure length of root in the bony cavity. The seven models were classified as in the table 1 below. A load of 500N was applied $45^{\circ}$ diagonally on the lingual slope of the buccal cusp. These mode were analyzed with two dimensional finite element methods. The results of this study were as follows : 1. The maximum tensile stress along the inner canal wall was shown on the model 7. 2. When the model 1 was compared with the model 5, the maximum tensile stress along the inner canal wall showed the model 1. 3. Less equivalent stress was shown on the model 6 and more equivalent stress was shown on the model 4. 4. More shear stress was shown on the retrograde filling material of the model 7. 5. The models with increased length of exposed root in the bony cavity demonstrated a gradual increase to the tensile stress in X direction which occurred approximately a boundary between the bone and exposed root in' the bony cavity. 6. The model which had a case of matching the apex of post and a boundary between the bone and exposed root in the bony cavity demonstrated more increase tensile stress in X direction than other models.

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Comparison between Two Kirschner Wire Fixation and Three Wire Fixation, in Treating of Metacarpal Neck Fracture Using Multiple Retrograde Kirschner Wire Fixation (다발성 역행성 K 강선을 이용한 중수골 경부 골절의 치료에서 2개의 강선과 3개의 강선 사용군의 비교)

  • Kwak, Sang-Ho;Lee, Young Ho;Seo, Gil Joon;Baek, Goo Hyun
    • Journal of Trauma and Injury
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    • v.28 no.2
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    • pp.55-59
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    • 2015
  • Purpose: To compare clinical and radiographic outcomes of between two and three Kirschner wire(K-wire) intramedullary fixation for fractures in the neck of the metacarpal bone. Methods: A single institutional retrospective review identified 28 cases of metacarpal fractures between March 2010 and August 2014. Each of the cases met the inclusion criteria for closed, extra-articular fractures of the neck of the metacarpal bone. The patient groups were divided by the number of K-wire. Outcomes were compared for range of motion of the metacarpophalangeal joint, radiographic parameters, and period until union. Results: The fractures were treated with either 2 Kirschner wire fixation (n=10) or 3 Kirschner wire fixation (n=18). The active range of motion of metacarpophalangeal joint and radiographic result showed no statistically significant difference between the two groups. The mean union period was 5.9 weeks. However, four cases suffered distal head perforation in 2 K-wire fixation group and one case in 3 K-wire fixation group. Conclusion: Multiple retrograde intramedullary Kirschner wire fixation is a good treatment of choice for fractures in the neck of the metacarpal bone. To prevent metacarpal head perforation, it is preferred to use three K-wires than two K-wires.

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