A Case of Eosinophilia Associated Massive Deep Vein Thrombosis Treated with Local Urokinase Infusion

Venous thrombosis is uncommon in young individuals. Hypereosinophilia is a rare cause of thrombosis that usually involves the heart and small vessels like retinal vessels. We report a case of massive deep vein thrombosis that developed in a young patient with hypereosinophilia who was successfully treated with continuous local infusion of urokinase.ope

부분 신절제술 후 발생한 신동맥 가성동맥류의 자연 치유: 증례 보고

A partial nephrectomy is being used increasingly for the removal of renal cell carcinomas. A renal artery pseudoaneurysm (RAP) is a rare, potentially life threatening complication after a partial nephrectomy. This paper presents a case of spontaneous thrombosis of RAP after a partial nephrectomy. The presented case is believed to be the largest in diameter (59 mm) among the reported cases of spontaneous treatment of RAP by complete thrombosisope

Anatomical Features and Early Outcomes of Endovascular Repair of Abdominal Aortic Aneurysm from a Korean Multicenter Registry

PURPOSE: To introduce a nation-based endovascular aneurysm repair (EVAR) registry in South Korea and to analyze the anatomical features and early clinical outcomes of abdominal aortic aneurysms (AAA) in patients who underwent EVAR. MATERIALS AND METHODS: The Korean EVAR registry (KER) was a template-based online registry developed and established in 2009. The KER recruited 389 patients who underwent EVAR from 13 medical centers in South Korea from January 2010 to June 2010. We retrospectively reviewed the anatomic features and 30-day clinical outcomes. RESULTS: Initial deployment without open conversion was achieved in all cases and procedure-related 30-day mortality rate was 1.9%. Anatomic features showed the following variables: proximal aortic neck angle 48.8±25.7° (mean±standard deviation), vertical neck length 35.0±17.2 mm, aneurysmal sac diameter 57.2±14.2 mm, common iliac artery (CIA) involvement in 218 (56.3%) patients, and median right CIA length 34.9 mm. Two hundred and nineteen (56.3%) patients showed neck calcification, 98 patients (25.2%) had neck thrombus, and the inferior mesenteric arteries of 91 patients (23.4%) were occluded. CONCLUSION: Anatomical features of AAA in patients from the KER were characterized as having angulated proximal neck, tortuous iliac artery, and a higher rate of CIA involvement. Long-term follow-up and ongoing studies are required.ope

여성의 정치참여가 여성의 주관적 건강수준에 미치는 영향

학위논문 (석사)-- 서울대학교 보건대학원 보건학과, 2017. 8. 김창엽.연구의 배경 및 목적 정치는 정책에 영향을 미치고 정책변화는 한 국가의 건강수준에 영향을 미친다. 여성은 사회구조적으로 정치참여에서 배제되어 왔으며, 여성 건강에 대한 정책적 지원은 거의 없었다. 젠더는 사회 계층화 요인으로서 작동하여 여성이 건강 잠재력을 충분히 발휘하지 못하게 한다. 그러나 여성의 정치참여와 여성건강의 관계를 직접적으로 탐색한 연구는 없었으므로 본 연구에서는 국가수준에서의 여성의 정치참여가 국가별로 개인수준에서 여성의 주관적 건강수준에 미치는 영향을 탐색하고자 한다. 연구 방법 본 연구는 World Value Survey의 6차 자료를 바탕으로 하였으며, 총 46개국의 여성 27025명을 대상으로 하였다. 독립변수로는 여성의 투표참여와 여성의 비제도적 정치참여를 사용하였으며, 국가 수준의 변수는 개인 수준의 변수를 합산 평균 하였다. 종속변수로는 개인의 주관적 건강수준을 사용하였다. 국가수준 통제 변수로는 성격차지수, 주관적 성역할 인식, 출생 시 기대수명, 영아사망률, 세계자유지수를 사용하였고, 개인 수준 통제 변수로는 연령, 주관적 계층인식, 소득, 결혼 여부, 학력을 사용하였다. 분석 방법으로는 기술통계분석, 로지스틱 회귀분석, 피어슨 상관분석, 다수준 회귀분석을 시행하였으며 프로그램은 SAS 9.4를 사용하였다. 연구 결과 국가수준에서 여성의 정치참여도는 국가의 소득수준, 성격차지수, 주관적 성역할인식과 긍정적인 상관관계를 보였다. OECD 소속 국가들만을 대상으로 하였을 때, 국가수준에서 여성의 비제도적 정치참여도만 국가의 소득수준, 성격차지수, 주관적 성역할인식과 긍정적인 상관관계를 보였다. 연령이 낮을 수록, 주관적 계층인식이 높을수록, 소득수준이 높을 수록, 학력수준이 높을 수록, 독신일수록 여성의 주관적 건강수준이 증가하였다. 국가 수준에서 여성의 투표참여는 개인 수준에서 여성의 주관적 건강수준에 대하여 부정적인 효과를 보였으나 국가 수준에서 여성의 비제도적 정치참여는 개인 수준에서 여성의 주관적 건강수준에 대하여 긍정적인 효과를 보였다. 결론 본 연구를 통해서 여성의 투표참여가 여성의 주관적 건강수준에 긍정적 영향을 미친다고 보기는 어렵지만, 여성의 비제도적 정치참여가 여성의 주관적 건강수준에 긍정적인 영향을 미친다는 결과를 도출하였다. 이와 같은 결과는 국가수준에서의 여성의 정치참여가 높을수록 그 국가 여성들의 주관적 건강수준이 높아질 것이다.라는 본 연구의 가설을 일부 지 지한다. 한편, 여성의 모든 참여가 여성의 건강에 긍정적으로 작동하지는 않는다는 것을 확인할 수 있었으며, 젠더 불평등 완화를 목적으로 하는 참여의 중요성을 도출해낼 수 있었으나 본 연구에서 건강에 미치는 효과를 확인하지는 못하였다. 또한 여성의 정치참여가 여성의 건강에 영향을 미치는 경로에 대해서도 확인하지 못하였다.제 1장 서론…………………………………………………………………1 제 1절 연구의 배경…………………………………………………… 1 제 2절 연구의 목적…………………………………………………… 4 제 2장 이론적 배경……………………………………………………… 5 제 1절 건강결정요인으로서의 정치………………………………… 5 제 2절 여성의 건강……………………………………………………15 제 3절 여성의 정치참여와 건강…………………………………… 23 제 3장 연구 방법…………………………………………………………27 제 1절 연구 대상………………………………………………………27 제 2절 변수의 정의……………………………………………………29 제 3절 분석 방법 및 모형……………………………………………38 제 4장 연구 결과…………………………………………………………42 제 1절 기술통계분석………………………………………………… 42 제 2절 여성의 정치참여가 여성의 주관적 건강수준에 미치는 영향에 대한 분석결과……………………………………………60 제 5장 고찰 및 결론…………………………………………………… 71 제 1절 고찰…………………………………………………………… 71 제 2절 연구의 함의 및 한계점………………………………………76 참고문헌……………………………………………………………………78 Abstract……………………………………………………………………86Maste

Effects of anatomical characteristics as factors in abdominal aortic aneurysm rupture: CT aortography analysis

The aim of this study was to analyze the anatomical characteristics of patients with ruptured abdominal aortic aneurysms (AAAs) using computed tomography (CT) aortography in order to determine the risk factors for rupture.We retrospectively reviewed the CT aortography findings and medical records of patients with ruptured AAAs who underwent CT aortography between February 2002 and December 2014. Age, sex, blood pressure at the time of rupture, treatment methods used for the ruptured AAAs, and treatment outcomes were analyzed. Statistical analyses were performed to determine the association between the maximum aneurysm diameter, which is considered the standard predictor of aneurysm rupture, and anatomical characteristics such as proximal neck diameter, angle between the suprarenal aorta and the aneurysm neck (α angle), angle between the aneurysm neck and aneurysm sac (β angle), and angles between the abdominal aorta and both iliac arteries.Data were reviewed for a total of 36 patients. The mean maximum diameter of AAAs was 76.84 ± 21.08 mm. Multivariate analysis adjusted for age and sex indicated statistical correlations between the α and β angles and maximum aneurysm diameter and between the β angle and iliac artery involvement.Our results suggest that the tortuosity of the aorta tends to be associated with the diameter of AAAs and iliac artery involvement. Investigation of the anatomical characteristics of individual patients using CT aortography is expected to aid in predicting the risk of AAA rupture.ope

May-Thurner Syndrome：Two Cases Treated with Catheter-Directed Thrombolysis and Stent Placement

May-Thurner syndrome (iliac vein compression syndrome) is an uncommon condition in which the right common iliac artery compresses the left common iliac vein against the pelvic rim, resulting in left iliofemoral deep vein thrombosis and severe leg edema. Serious vascular sequelae to the leg can result if this condition is not recognized and corrected in a timely fashion. Several new interventions for treating May-Thurner syndrome have emerged over the past several years. Catheter-directed thrombolysis and stenting have been advocated as effective for the treatment of acute thrombosis and the underlying stenosis of May-Thurner syndrome. We report two cases of May-Thurner syndrome that were treated with catheter-directed thrombolysis and stent implantation.ope

Endovascular Treatment in a Trauma Patient with Vascular Injury - A case report -

The role of vascular and interventional radiology in trauma patients is evolving. In diagnosis, it is increasingly supplanted by less invasive and often more definitive modalities such as computed tomography. At the same time, its use in treatment is constantly expanding. Endovascular interventions are helpful in treating vascular injuries in trauma patients. In some situations, endovascular treatments are as effective as or more effective than surgery, but less invasive. We employed endovascular techniques successfully in two trauma patients with associated injuries and vascular injuries which were difficult to access. The clinical courses of these two patients were uneventful, and they were discharged without complications.ope

Concurrent Chemo - Radiation Therapy for Advanced Hepatocellular Carcinoma with Portal Vein Thrombosis

Background/Aims: Advanced hepatocellular carcinoma with portal vein thrombosis has a poor prognosis. This study was undertaken to evaluate the therapeutic effects of concurrent chemo-radiation therapy in advanced hepatocellular carcinoma with portal vein thrombosis. Methods: A total of 54 patients with advanced hepatocellular carcinoma (TNM stage IVa) were enrolled. Nineteen patients were treated with external beam radiotherapy (4,500 cGy/ 5 weeks) and intrahepatic arterial 5-FU infusion (500 mg on 1-5 day and 30-35 day, respectively) via implanted chemoport. The others were treated with intrahepatic arterial cisplatin infusion (80 mg/m2). Results: In patients treated with concurrent chemo-radiation therapy, response rates at 2nd and 6th months were 42.1% and 26.3%, respectively. In patients treated with intrahepatic arterial cisplatin therapy, response rates at 2nd and 6th months were 2.9% and 0%, respectively. The median survival time was 11.6 months in concurrent chemo-radiation therapy and 4.8 months in intrahepatic arterial cisplatin infusion therapy. Concurrent chemo-radiation therapy produced better response rates and longer survival time than those of intrahepatic arterial cisplatin infusion therapy (p<0.05). Conclusions: Concurrent chemo-radiation therapy achieved favorable results in advanced hepatocellular carcinoma with portal vein thrombosis and can be considered as a treatment option for the management of advanced hepatocellular carcinomaope

A Case of Percutaneous Transcatheter Coil Embolization for Congenital Coronary Arteriovenous Fistula

We report a case of 70-year-old woman who had bilateral coronary arteriovenous fistula(CAVF) and treated with percutaneous transcatheter coil embolization. Enlarged LV and reduced global LV systolic function were demonstrated on transthoracic echocardiography. Coronary angiography revealed a large coronary arteriovenous fistula from the right coronary artery to the main pulmonary artery and a small fistula from the left coronary artery to the main pulmonary artery. Percutaneous transcatheter coil embolization for CAVF from the right coronary artery to the main pulmonary artery was successfully performed with symptomatic improvement.ope

Intravascular Ultrasonography

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