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Park JY, Park KM, Cho SG, Hong KC, Jeon YS. Atypical iliac vein compression in patients with symptomatic May-Thurner syndrome. ACTA ACUST UNITED AC 2021; 27:372-377. [PMID: 34003124 DOI: 10.5152/dir.2021.20183] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
PURPOSE We aimed to investigate the incidence, etiology, treatment, and clinical course of atypical iliac vein compressions (AIVCs) among patients with May-Thurner syndrome (MTS). METHODS A total of 173 patients who presented with MTS were retrospectively analyzed at a single center. Computed tomographic venography (CTV) was used to diagnose MTS. An AIVC was defined as the compression of the left common iliac vein (LCIV) by structures other than the right common iliac artery (RCIA) or the compression of other venous structures in the pelvic cavity instead of the LCIV. The patients with AIVC were categorized into the LCIV compression group (category A) and non-LCIV compression group (category B). RESULTS Ten patients with AIVC were identified (5.8%; male/female, 5/5), five in category A and five in category B. The median age of patients was 76 years (range, 51-94 years), and the median follow-up duration was 388 days (range, 12-4694 days). In category A, the LCIVs were compressed by the left common iliac artery (LCIA) (n=2), uterine leiomyoma (n=1), LCIA aneurysm (n=1), and RCIA aneurysm (n=1). In category B, the right common iliac veins were compressed by the RCIA (n=4) and L5 osteophyte (n=1). Endovascular treatment, including balloon angioplasty and stent placement, was performed in six patients, three from each group. Three patients underwent conservative treatment due to their advanced age and comorbidities. Endovascular aneurysm repair was performed in one patient with RCIA aneurysm. Follow-up images were available for six patients, and all of them had patent venous flow. CONCLUSION The AIVC had an incidence of 5.8% (10/173) among symptomatic MTS patients and wide spectrum of etiologies. Pathogenesis-tailored endovascular treatments are safe and effective.
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Affiliation(s)
- Ju Yong Park
- Department of Radiology, Inha University Hospital, Inha University College of Medicine, Jung-gu, Incheon, Korea
| | - Keun-Myoung Park
- Department of Surgery, Inha University Hospital, Inha University College of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University Hospital, Inha University College of Medicine, Jung-gu, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University Hospital, Inha University College of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University Hospital, Inha University College of Medicine, Jung-gu, Incheon, Korea
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Abstract
Purpose The clinical characteristics and results of femoropopliteal artery injury (FPAI) remain unclear. In this study, we evaluated the outcomes and risk factors of limb loss in patients treated for FPAI. Materials and Methods We retrospectively reviewed data from a database of patients who underwent revascularization for an FPAI at a single institution between January 2013 and December 2017. We reviewed and analyzed the characteristics, postoperative results, and factors that influence amputation rates. Results Twenty-four femoropopliteal arterial reconstructions in 24 patients were included in this study. Among the patients were 20 (83.3%) male with a first-quartile age of 28 years and a third-quartile age of 45 years (range, 15–68 years). The mean injury severity score (ISS) was 16 (range, 4–55), and 5 patients (20.8%) had ISSs of >20 points. The mean mangled extremity severity score (MESS) was 3.8 (range, 1–11), and 8 patients (33.3%) had MESSs of >5 points. In terms of arterial reconstruction methods, autogenous saphenous vein grafting, vein patching, and primary closure were performed in 9 patients (37.5%), 4 patients (16.7%), and 11 patients (45.8%), respectively. Despite arterial reconstruction, 5 patients (20.8%) underwent above-knee amputation. ISSs of >20, MESSs of >7, and orthopedic fixation were statistically significant factors associated with amputation. Conclusion In cases of FPAI with ISSs of >20, MESSs of >7, and orthopedic fixation, amputations should be considered. We were also careful to attempt limb salvage in such cases.
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Affiliation(s)
- JeaHwan Kim
- Department of Surgery, Inha University Hospital, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University Hospital, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University Hospital, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University Hospital, Incheon, Korea
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Jung S, Park KM, Hah J, Hong KC, Hwang SD, Song J. Early Focal Segmental Glomerulosclerosis as a Cause of Delayed Graft Function With Combined Acute Antibody Rejection: A Case Report. Transplant Proc 2018; 50:2579-2580. [PMID: 30316402 DOI: 10.1016/j.transproceed.2018.02.191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2018] [Accepted: 02/19/2018] [Indexed: 11/27/2022]
Abstract
Focal segmental glomerulosclerosis (FSGS) is the most common form of post-transplant glomerulonephritis. We describe a case where a biopsy proved that early recurrence of FSGS on postoperative day 1 was the cause of delayed graft function. A 39-year-old man, on hemodialysis for 15 years due to polycystic kidney disease, received a cadaveric renal transplantation. On postoperative day 1, his hourly urine output decreased from 700-800 mL to 50 mL. The graft biopsy showed a mild acute kidney injury confusing nephrotic syndrome. On postoperative day 45, his creatinine level increased to 3.02 mg/dL with severe proteinuria. A kidney biopsy showed focal segmental glomerulosclerosis. On postoperative day 120, his creatinine level elevated again, concomitant with proteinuria. A kidney biopsy showed FSGS with antibody-mediated rejection. After plasmapheresis, his creatinine level decreased to 1.3 mg/dL with mild proteinuria. Once active in the allograft, de novo FSGS is a potentially aggressive process. In this case, it could be managed because of an accurate diagnosis and appropriate treatment.
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Affiliation(s)
- S Jung
- Department of Surgery, Inha University Hospital, Incheon, South Korea
| | - K-M Park
- Department of Surgery, Inha University Hospital, Incheon, South Korea.
| | - J Hah
- Department of Pathology, Inha University Hospital, Incheon, South Korea
| | - K C Hong
- Department of Surgery, Inha University Hospital, Incheon, South Korea
| | - S-D Hwang
- Department of Nephrology, Inha University Hospital, Incheon, South Korea
| | - J Song
- Department of Nephrology, Inha University Hospital, Incheon, South Korea
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Le TB, Lee TK, Park KM, Jeon YS, Hong KC, Cho SG. Contralateral Deep Vein Thrombosis after Iliac Vein Stent Placement in Patients with May-Thurner Syndrome. J Vasc Interv Radiol 2018; 29:774-780. [DOI: 10.1016/j.jvir.2018.01.771] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2017] [Revised: 01/16/2018] [Accepted: 01/16/2018] [Indexed: 12/20/2022] Open
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Le TB, Kim JH, Park KM, Jeon YS, Hong KC, Cho SG. Iatrogenic Iliofemoral Vein Dissection: A Rare Complication of Femoral Artery Puncture. Vasc Endovascular Surg 2018; 52:482-485. [DOI: 10.1177/1538574418772696] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Iatrogenic iliac vein dissection secondary to femoral artery puncture is a rare complication that has not yet been documented. A 55-year-old woman presented to our institution with acute right iliofemoral thrombosis 2 weeks after transfemoral cerebral angiography. She was previously healthy and was not taking any medication. Right iliofemoral vein dissection was diagnosed by computed tomography angiography and confirmed by conventional venography. The patient was treated endovascularly with stent insertion, and the venous outflow was patent on the 6-month follow-up computed tomography angiogram.
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Affiliation(s)
- Trong Binh Le
- Endovascular Training Center, Inha University School of Medicine, Inha University Hospital, Incheon, Korea
| | - Jun Ho Kim
- Department of Radiology, Inha University School of Medicine, Inha University Hospital, Incheon, Korea
| | - Keun-Myoung Park
- Department of Vascular Surgery, Inha University School of Medicine, Inha University Hospital, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University School of Medicine, Inha University Hospital, Incheon, Korea
| | - Kee Chun Hong
- Department of Vascular Surgery, Inha University School of Medicine, Inha University Hospital, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University School of Medicine, Inha University Hospital, Incheon, Korea
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Le TB, Park KM, Jeon YS, Hong KC, Cho SG. Evaluation of Delayed Endoleak Compared with Early Endoleak after Endovascular Aneurysm Repair. J Vasc Interv Radiol 2018; 29:203-209. [DOI: 10.1016/j.jvir.2017.09.023] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2017] [Revised: 09/22/2017] [Accepted: 09/24/2017] [Indexed: 11/29/2022] Open
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Park SB, Park KM, Jeon YS, Cho SG, Hong KC. Intraoperative Vascular Surgical Consultation during Non-Vascular Surgeries in Tertiary Centers by Vascular Surgeon. Vasc Specialist Int 2018; 33:156-160. [PMID: 29354626 PMCID: PMC5754065 DOI: 10.5758/vsi.2017.33.4.156] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2017] [Revised: 10/15/2017] [Accepted: 10/25/2017] [Indexed: 11/22/2022] Open
Abstract
Purpose There are many types of intraoperative consultations by vascular surgeons during non-vascular surgery. Therefore, we examined the current state of intraoperative consultations during non-vascular surgery in a single center. Materials and Methods From January 2014 to December 2015, we reviewed records of 40 patients (0.3%) who received an intraoperative consultation from a vascular surgeon for 10,734 non-vascular surgeries in Inha University Hospital. We examined patient characteristics, operative details, and clinical results. Results There were 40 intraoperative vascular surgical consultations relating to bleeding (n=14, 35.0%), dissection from the vessel (n=13, 32.5%), arterial occlusion (n=10, 25.0%), and retroperitoneal approach (n=3, 7.5%). The locations of surgery were lower extremity (n=10, 25.0%), kidney (n=8, 20.0%), spine (n=6, 15.0%), pelvis (n=6, 15.0%), head and neck (n=4, 10.0%), abdomen (n=4, 10.0%), and upper extremity (n=2, 5.0%). The methods of surgery included primary closure or ligation (n=17, 42.5%), end-to-end anastomosis (n=12, 30.0%), bypass (n=10, 25.0%), thrombectomy (n=4, 10.0%), retroperitoneal approach (n=3, 7.5%), and embolization (n=2, 5.0%). Postoperative treatment was performed in the intensive care unit for 13 patients (32.5%), while 3 patients (7.5%) died following surgery. Conclusion Intraoperative consultation by vascular surgeons during non-vascular surgery occurred in approximately 0.3% of non-vascular surgeries. The region undergoing operation and type of surgery were variable. Therefore, it is necessary for vascular surgeons to have a comprehensive knowledge of vascular anatomy and to make rapid surgical decisions.
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Affiliation(s)
- Sung-Bin Park
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Keun-Myoung Park
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
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Lee J, Park KM, Jung S, Cho W, Hong KC, Jeon YS, Cho SG, Lee JB. Occurrences and Results of Acute Kidney Injury after Endovascular Aortic Abdominal Repair? Vasc Specialist Int 2017; 33:135-139. [PMID: 29354623 PMCID: PMC5754070 DOI: 10.5758/vsi.2017.33.4.135] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2017] [Revised: 09/02/2017] [Accepted: 09/27/2017] [Indexed: 11/20/2022] Open
Abstract
Purpose Acute kidney injury (AKI) is an important postoperative complication that may impact mortality and morbidity. The incidence of AKI after elective endovascular aneurysm repair (EVAR) is not known well. The aim of this study is to assess the incidence of AKI after elective EVAR and examine the impact of AKI. Materials and Methods Data were collected and analyzed retrospectively from 78 elective EVARs for abdominal aortic aneurysm (AAA) among 102 total cases of conventional EVAR performed in Inha University Hospital from 2009 to 2015. The primary endpoint was incidence and risk factors of AKI. Secondary endpoints included drop in estimated glomerular filtration rate (eGFR) and the mortality of AKI. Results We included 78 patients (17 females, 21%; mean age, 73.9±12.5 years; mean AAA diameter, 59.3±8.9 cm), 11 (14.1%) of whom developed AKI. Within 48 hours, those with AKI experienced a decrease in eGFR from 65.5±21.2 to 51.2±19.6 mL/kg/1.73 m2, and those without AKI showed a change from 73.1±9.2 to 74.2±10.7 mL/kg/1.73 m2. There were no patients who required dialysis during follow-up (mean, 24.2±18.0 months). Development of AKI was related to operation time (odds ratio [OR], 2.024; 95% confidence interval [CI], 1.732–4.723; P<0.010) and contrast dose (OR, 3.192; 95% CI, 2.182–4.329; P<0.010). There were no differences in mortality between the 2 groups (P=0.784). Conclusion The incidence of AKI after EVAR was related to operation time and contrast dose, but was not associated with medium-term mortality.
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Affiliation(s)
- Jeahong Lee
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Keun-Myoung Park
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Sungteak Jung
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Wonpyo Cho
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
| | - Jung Bum Lee
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
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Choi JS, Park KM, Jung S, Hong KC, Jeon YS, Cho SG, Choe YM. Usefulness of Percutaneous Puncture in Insertion of Totally Implantable Venous Access Devices in Pediatric Patients. Vasc Specialist Int 2017; 33:108-111. [PMID: 28955700 PMCID: PMC5614379 DOI: 10.5758/vsi.2017.33.3.108] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2017] [Revised: 08/22/2017] [Accepted: 08/25/2017] [Indexed: 12/02/2022] Open
Abstract
Purpose Totally implantable venous access devices (TIVADs) are commonly used in pediatrics for the administration of chemotherapy, antibiotics, or parenteral nutrition. TIVADs can be implanted using various techniques, including surgical cutdown (SC) and percutaneous puncture (PP). Recently, percutaneous TIVAD became popular in adults, but studies comparing between PP and SC group in pediatric patients are rare. Materials and Methods Data were collected and analyzed retrospectively from 23 patients who underwent TIVAD at a single institution between January 2013 and December 2015. We examined the clinical characteristics, insertion techniques, and clinical outcome. We divided the patients into 2 groups and compared PP with ultrasonography and SC using the insertion technique. We compared success rate, procedural time, and the patency rate between the 2 groups. Results Eleven TIVADS were inserted using PP, and 12 TIVADs were inserted using SC. No statistically significant difference in characteristics was found between the 2 groups. The procedural time in the PP group was shorter than that in the SC group, but the difference was not statistically significant (P=0.685). During follow-up, 1 patient in the SC group had an occlusion, and 1 patient in the PP group had an infection. Conclusion PP of the internal jugular vein with ultrasonography appears to be the method of choice for TIVAD insertion owing to its similar success rate in terms of implantation and complication rate to that in SC, with shorter procedural times in pediatric patients.
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Affiliation(s)
- Jung Sik Choi
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Keun-Myoung Park
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Sungteak Jung
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
| | - Yun-Mee Choe
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
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Ahn S, Park KM, Kim YK, Kim JI, Moon IS, Hong KC, Jeon YS, Kim JY. Outcomes of endovascular treatment for TASC C and D aorto-iliac lesions. Asian J Surg 2017; 40:215-220. [DOI: 10.1016/j.asjsur.2015.11.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2015] [Revised: 10/01/2015] [Accepted: 11/24/2015] [Indexed: 11/26/2022] Open
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Le TB, Jeon YS, Hong KC, Cho SG, Park KM. Spontaneous dissections of multiple visceral arteries: an extremely rare case. Ann Surg Treat Res 2017; 92:225-229. [PMID: 28382296 PMCID: PMC5378564 DOI: 10.4174/astr.2017.92.4.225] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2016] [Revised: 08/22/2016] [Accepted: 09/12/2016] [Indexed: 11/30/2022] Open
Abstract
Spontaneous dissections of visceral arteries without aortic involvement are very rare. The etiologies of these entities are unclear and their clinical managements remain controversial. We report a case of spontaneous multiple dissections affecting 4 visceral arteries including the superior mesenteric artery, the celiac artery and the bilateral renal arteries. The patient was managed conservatively and endovascularly. The clinical manifestation markedly improved and laboratory tests returned to normal limits within 1 week. The regular follow-up suggested a good clinical and radiological outcome until 84 months.
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Affiliation(s)
- Trong Binh Le
- Endovascular Training Center, Inha University Hospital, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Vascular Surgery, Inha University School of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Keun-Myoung Park
- Department of Vascular Surgery, Inha University School of Medicine, Incheon, Korea
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Hong S, Park KM, Jeon YS, Cho SG, Hong KC, Shin WY, Choe YM. Can Pre-Retrieval Computed Tomography Predict the Difficult Removal of an Implementing an Inferior Vena Cava Filter? Vasc Specialist Int 2016; 32:175-179. [PMID: 28042557 PMCID: PMC5198764 DOI: 10.5758/vsi.2016.32.4.175] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2016] [Revised: 09/18/2016] [Accepted: 09/28/2016] [Indexed: 11/23/2022] Open
Abstract
Purpose: Implementing an inferior vena cava (IVC) filter is a relatively safe procedure but potential negative long-term effects. The complications for filter retrieval have been noted. We examined filter characteristics on pre-retrieval computed tomography (CT) that were associated with complicated retrieval (CR) of IVC filters. Materials and Methods: A retrospective review of IVC filter retrievals between January 2008 and June 2014 was performed to identify patients who had undergone a pre-retrieval CT for IVC filter retrieval. CR was defined as the use of nonstandard techniques, procedural time over 30 min, filter fractures, filter tip incorporation into the IVC wall, and retrieval failure. Pre-retrieval CT images were evaluated for tilt angle in the mediolateral and anteroposterior directions, tip embedding into the IVC wall, degree of filter strut perforation, and distance of the filter tip from the nearest renal vein. Results: Of seventy-six patients, twenty-four patients (31.6%) with CRs and 56 patients (73.7%) with non-CR were evaluated for pre-retrieval CT. For IVC filter retrieval with a dwelling time of over 45 days, a tilt of over 15 degrees, the appearance of tip embedding and grade 2 perforation were associated with CR on multivariate analysis. However, for IVC filter retrievals with a dwelling time of less than 45 days, there were no factors associated with CR. Conclusion: Pre-retrieval CTs may be more effective for IVC filters with a dwelling time of over 45 days. Therefore, a pre-retrieval CT may be helpful in predicting CR of IVC filters with long dwelling times.
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Affiliation(s)
- Shinho Hong
- Departments of Surgery, College of Medicine, Inha University, Incheon, Korea
| | - Keun-Myoung Park
- Departments of Surgery, College of Medicine, Inha University, Incheon, Korea
| | - Yong Sun Jeon
- Radiology, College of Medicine, Inha University, Incheon, Korea
| | - Soon Gu Cho
- Radiology, College of Medicine, Inha University, Incheon, Korea
| | - Kee Chun Hong
- Departments of Surgery, College of Medicine, Inha University, Incheon, Korea
| | - Woo Young Shin
- Departments of Surgery, College of Medicine, Inha University, Incheon, Korea
| | - Yun-Mee Choe
- Departments of Surgery, College of Medicine, Inha University, Incheon, Korea
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Choe YM, Park KM, Jeon YS, Cho SG, Hong KC, Shin WY, Song JH. Abscess of Native Kidney Caused by Carbapenem-Resistant Acinetobacter baumannii (CRAB) in Renal Transplantation: A Case Report. Transplant Proc 2016; 48:949-50. [PMID: 27234776 DOI: 10.1016/j.transproceed.2015.09.068] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2015] [Accepted: 09/03/2015] [Indexed: 11/16/2022]
Abstract
BACKGROUND Abscess of native kidney is a rare postoperative event after renal transplantation. This report describes a case of back pain, fever and pyuria caused by carbapenem-resistant Acinetobacter baumannii (CRAB) in a patient who underwent renal-transplantation. CASE REPORT A 40-year-old man, presenting with hypertension and renal failure, underwent renal transplantation 1 month previously. He developed sudden intense back pain and fever (39°C). There was normal blood flow in graft kidney but there were the swelling and cyst of right native kidney. We aspirated the pus in native kidney and performed the native nephrectomy. The carbapenem-resistant Acinetobacter baumannii (CRAB) was isolated as in pus and native kidney. We performed the tigecyline monotherapy during 3 weeks. He recovered without complication after treatment. CONCLUSIONS To our knowledge, no report in the literature to date describes abscess in native kidney secondary to CRAB in a renal transplant. Infections caused by CRAB have become critical for immunosuppressed patients. The presence of complication greater risk, by an organism whose pathogenicity and virulence are not yet elucidated should determine an aggressive empirical antimicrobial therapy.
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Affiliation(s)
- Y-M Choe
- Department of Surgery, Inha University Hospital, Incheon, Korea
| | - K-M Park
- Department of Surgery, Inha University Hospital, Incheon, Korea.
| | - Y S Jeon
- Department of Radiology, Inha University Hospital, Incheon, Korea
| | - S G Cho
- Department of Radiology, Inha University Hospital, Incheon, Korea
| | - K C Hong
- Department of Surgery, Inha University Hospital, Incheon, Korea
| | - W Y Shin
- Department of Surgery, Inha University Hospital, Incheon, Korea
| | - J H Song
- Department of Nephrology, Inha University Hospital, Incheon, Korea
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Kim MH, Park KM, Jeon YS, Cho SG, Hong KC, Shin WY, Choe YM, Shin SH, Kim KR. One Year Experience of Iliac Bifurcated Device for Aortoiliac Aneurysm in a Korean Single Center. Vasc Specialist Int 2016; 31:130-4. [PMID: 26719840 PMCID: PMC4694185 DOI: 10.5758/vsi.2015.31.4.130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2015] [Revised: 09/01/2015] [Accepted: 09/15/2015] [Indexed: 11/20/2022] Open
Abstract
One of the predominant methods for preserving the internal iliac artery (IIA) in aortoiliac aneurysms is to use an iliac bifurcated device (IBD). However, there are a few limitations to the use of IBD in Korea. Our study aims to present the technical aspects of these devices, and to provide a mid-term analysis of IBD. Since 2013, 4 IBDs were used in 4 patients, with a mean follow-up of 14 months (range, 6-22 months). A 100% technical success rate was achieved without mortality and morbidity in our cases. The mean procedural time was 176 min (range, 145-240 min), and the mean contrast dose used was 184 mL (range, 135-220 mL). Type I or III endoleaks and postoperative expansion of the aneurysms weren't observed. Our cases demonstrates that IBD is a relatively safe repair method of aortoiliac aneurysms with preservation of the IIAs. However, a longer follow-up is needed to review the midterm results.
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Affiliation(s)
- Moon Hwan Kim
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Keun-Myoung Park
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Woo Young Shin
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Yun-Mee Choe
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Seok-Hwan Shin
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Kyung Rae Kim
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
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Yu JS, Park KM, Jeon YS, Cho SG, Hong KC, Shin WY, Choe YM, Shin SH, Kim KR. Midterm Outcome of Femoral Artery Stenting and Factors Affecting Patency. Vasc Specialist Int 2015; 31:115-9. [PMID: 26719837 PMCID: PMC4694182 DOI: 10.5758/vsi.2015.31.4.115] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2015] [Revised: 10/05/2015] [Accepted: 11/03/2015] [Indexed: 11/20/2022] Open
Abstract
PURPOSE The purpose of this study was to evaluate the early and midterm results of superficial femoral artery (SFA) stenting with self-expanding nitinol stents and to identify the factors affecting patency. MATERIALS AND METHODS SFA stenting was performed in 165 limbs of 117 patients from January 2009 to December 2013. Patients were followed-up for the first occurrence of occlusion or stenosis based on computed tomography and duplex scan results and a decrease in ankle brachial index of >15%. RESULTS During the follow-up period (mean, 15.3±3.2 months), no early thrombotic reocclusions occurred within 30 days, but in-stent restenosis developed in 78 limbs. The primary patency rates at 6, 12, 18, and 24 months were 78%, 66%, 42%, and 22%, respectively, and the secondary patency rates were 85%, 72%, 58%, and 58%, respectively. TASC II C or D lesions, stent length >8 cm, number of patent tibial arteries and diabetes were significantly associated with reintervention. CONCLUSION The midterm results of stenting for SFA occlusive disease were disappointing because the primary and secondary patency rates at two years were 22% and 58%, respectively. Reintervention after SFA stenting remains a major problem, particularly in patients with diabetes mellitus or long TASC II C or D lesions.
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Affiliation(s)
- Jae Seoung Yu
- Department of Surgery and, Inha University College of Medicine, Incheon, Korea
| | - Keun-Myoung Park
- Department of Surgery and, Inha University College of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery and, Inha University College of Medicine, Incheon, Korea
| | - Woo Young Shin
- Department of Surgery and, Inha University College of Medicine, Incheon, Korea
| | - Yun-Mee Choe
- Department of Surgery and, Inha University College of Medicine, Incheon, Korea
| | - Seok-Hwan Shin
- Department of Surgery and, Inha University College of Medicine, Incheon, Korea
| | - Kyung Rae Kim
- Department of Surgery and, Inha University College of Medicine, Incheon, Korea
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Choe JH, Choi MH, Ryu YC, Go GW, Choi YM, Lee SH, Lim KS, Lee EA, Kang JH, Hong KC, Kim BC. Estimation of pork quality traits using exsanguination blood and postmortem muscle metabolites. Asian-Australas J Anim Sci 2015; 28:862-9. [PMID: 25925063 PMCID: PMC4412983 DOI: 10.5713/ajas.14.0768] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/01/2014] [Revised: 11/17/2014] [Accepted: 12/09/2014] [Indexed: 11/27/2022]
Abstract
The current study was designed to estimate the pork quality traits using metabolites from exsanguination blood and postmortem muscle simultaneously under the Korean standard pre- and post-slaughter conditions. A total of 111 Yorkshire (pure breed and castrated male) pigs were evaluated under the Korean standard conditions. Measurements were taken of the levels of blood glucose and lactate at exsanguination, and muscle glycogen and lactate content at 45 min and 24 h postmortem. Certain pork quality traits were also evaluated. Correlation analysis and multiple regression analysis including stepwise regression were performed. Exsanguination blood glucose and lactate levels were positively correlated with each other, negatively related to postmortem muscle glycogen content and positively associated with postmortem muscle lactate content. A rapid and extended postmortem glycolysis was associated with high levels of blood glucose and lactate, with high muscle lactate content, and with low muscle glycogen content during postmortem. In addition, these were also correlated with paler meat color and reduced water holding capacity. The results of multiple regression analyses also showed that metabolites in exsanguination blood and postmortem muscle explained variations in pork quality traits. Especially, levels of blood glucose and lactate and content of muscle glycogen at early postmortem were significantly associated with an elevated early glycolytic rate. Furthermore, muscle lactate content at 24 h postmortem alone accounted for a considerable portion of the variation in pork quality traits. Based on these results, the current study confirmed that the main factor influencing pork quality traits is the ultimate lactate content in muscle via postmortem glycolysis, and that levels of blood glucose and lactate at exsanguination and contents of muscle glycogen and lactate at postmortem can explain a large portion of the variation in pork quality even under the standard slaughter conditions.
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Affiliation(s)
- J H Choe
- Department of Food Bioscience and Technology, Korea University, Seoul 136-701, Korea
| | - M H Choi
- Department of Food Bioscience and Technology, Korea University, Seoul 136-701, Korea
| | - Y C Ryu
- College of Applied Life Sciences, Sustainable Agriculture Research Institute, Jeju National University, Jeju 690-756, Korea
| | - G W Go
- Department of Food and Nutrition, Kookmin University, Seoul 136-702, Korea
| | - Y M Choi
- Department of Animal Sciences and Biotechnology, KyungPook National University, Sangju 742-711, Korea
| | - S H Lee
- Department of Nutritional Science and Food Management, Ewha University, Seoul 120-750, Korea
| | - K S Lim
- Division of Biotechnology, Korea University, Seoul 136-701, Korea
| | - E A Lee
- Division of Biotechnology, Korea University, Seoul 136-701, Korea
| | - J H Kang
- Division of Biotechnology, Korea University, Seoul 136-701, Korea
| | - K C Hong
- Division of Biotechnology, Korea University, Seoul 136-701, Korea
| | - B C Kim
- Department of Food Bioscience and Technology, Korea University, Seoul 136-701, Korea
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Cho WP, Park IS, Jeon YS, Kim JY, Kong T, Jung JE, Cho SG, Hong KC, Shin SH. Vascular Disease Prevalence and Risk Factors in a Screened Korean Male Population. Ann Vasc Surg 2015; 29:215-21. [DOI: 10.1016/j.avsg.2014.08.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2014] [Revised: 07/31/2014] [Accepted: 08/04/2014] [Indexed: 11/27/2022]
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18
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Kim JM, Lim KS, Hong JS, Kang JH, Lee YS, Hong KC. A polymorphism in the porcine miR-208b is associated with microRNA biogenesis and expressions of SOX-6 and MYH7 with effects on muscle fibre characteristics and meat quality. Anim Genet 2014; 46:73-7. [PMID: 25530254 DOI: 10.1111/age.12255] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/23/2014] [Indexed: 11/29/2022]
Abstract
MicroRNAs (miRNAs) encoded by the myosin heavy chain (MHC) genes are muscle-specific miRNAs (myomiRs) and regulate the expression of MHC isoforms in skeletal muscle. These miRNAs have been implicated in muscle fibre types and their characteristics by affecting the heterogeneity of myosin. In pigs, miR-208b and miR-499 are embedded in introns of MYH7 and MYH7b respectively. Here, we identified a novel single nucleotide polymorphism (SNP) in intron 30 of MYH7 by which porcine miR-208b is encoded. Based on the association study using a total of 487 pigs including Berkshire (n = 164), Landrace (n = 121) and Yorkshire (n = 202), the miR-208b SNP (g.17104G>A) had significant effects on the proportions of types I and IIb fibre numbers (P < 0.010) among muscle fibre characteristics and on drip loss (P = 0.012) in meat quality traits. Moreover, the SNP affected the processing of primary miR-208b into precursor miR-208b with a marginal trend towards significance (P = 0.053), thereby leading to significant changes in the levels of mature miR-208b (P = 0.009). These SNP-dependent changes in mature miR-208b levels were negatively correlated with the expression levels of its target gene, SOX-6 (P = 0.038), and positively associated with the expression levels of its host gene, MYH7 (P = 0.046). Taken together, our data suggest that the porcine miR-208b SNP differentially represses the expression of SOX-6 by regulating miRNA biogenesis, thereby affecting the expression of MYH7 and the traits of muscle fibre characteristics and meat quality.
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Affiliation(s)
- J M Kim
- College of Life Sciences and Biotechnology, Korea University, Seoul, 136-713, South Korea; Centre for Nutrition and Food Sciences, Queensland Alliance for Agriculture and Food Innovation, University of Queensland, Brisbane, Qld, 4072, Australia
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Park KM, Moon IS, Kim JI, Yun SS, Hong KC, Jeon YS, Cho SG, Kim JY. Mechanical Thrombectomy with Trerotola Compared with Catheter-directed Thrombolysis for Treatment of Acute Iliofemoral Deep Vein Thrombosis. Ann Vasc Surg 2014; 28:1853-61. [DOI: 10.1016/j.avsg.2014.06.056] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2014] [Revised: 06/06/2014] [Accepted: 06/10/2014] [Indexed: 10/25/2022]
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20
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Kwon JN, Jeon YS, Cho SG, Lee KY, Hong KC. Spontaneous intrahepatic portosystemic shunt managed by laparoscopic hepatic vein closure. J Minim Access Surg 2014; 10:207-9. [PMID: 25336823 PMCID: PMC4204266 DOI: 10.4103/0972-9941.141528] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2014] [Accepted: 07/17/2014] [Indexed: 12/12/2022] Open
Abstract
Intrahepatic portosystemic shunt (IPSS) is uncommon and usually follows trauma or iatrogenic injury, but spontaneous shunts may also occur, in patients without the evidence of chronic liver disease. Although interventional endovascular management of the shunts is the treatment of choice, a surgical approach can be used when the percutaneous approach fails. We report here a case of symptomatic spontaneous IPSS between the posteroinferior branch of right portal vein and the right inferior hepatic vein, which was successfully managed with laparoscopic closure of the hepatic vein. To the best of our knowledge, this is the first case report of laparoscopic management of spontaneous IPSS.
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Affiliation(s)
- Jung-Nam Kwon
- Department of Surgery, Division of Vascular Surgery, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Republic of Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University School of Medicine, Incheon, Republic of Korea
| | - Soon-Gu Cho
- Department of Radiology, Inha University School of Medicine, Incheon, Republic of Korea
| | - Keon-Young Lee
- Department of Surgery, Inha University School of Medicine, Incheon, Republic of Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University School of Medicine, Incheon, Republic of Korea
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21
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Kim WC, Jeon YS, Hong KC, Kim JY, Cho SG, Park JY. Internal iliac artery embolization during an endovascular aneurysm repair with detachable interlock microcoils. Korean J Radiol 2014; 15:613-21. [PMID: 25246822 PMCID: PMC4170162 DOI: 10.3348/kjr.2014.15.5.613] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2013] [Accepted: 06/09/2014] [Indexed: 12/25/2022] Open
Abstract
Objective The purpose of this study was to evaluate the effectiveness of detachable interlock microcoils for an embolization of the internal iliac artery during an endovascular aneurysm repair (EVAR). Materials and Methods A retrospective review was conducted on 40 patients with aortic aneurysms, who had undergone an EVAR between January 2010 and March 2012. Among them, 16 patients were referred for embolization of the internal iliac artery for the prevention of type II endoleaks. Among 16 patients, 13 patients underwent embolization using detachable interlock microcoils during an EVAR. Computed tomographic angiographies and clinical examinations were performed during the follow-up period. Technical success, clinical outcome, and complications were reviewed. Results Internal iliac artery embolizations using detachable interlock microcoils were technically successful in all 13 patients, with no occurrence of procedure-related complications. Follow-up imaging was accomplished in the 13 cases. In all cases, type II endoleak was not observed with computed tomographic angiography during the median follow-up of 3 months (range, 1-27 months) and the median clinical follow-up of 12 months (range, 1-27 months). Two of 13 (15%) patients had symptoms of buttock pain, and one patient died due to underlying stomach cancer. No significant clinical symptoms such as bowel ischemia were observed. Conclusion Internal iliac artery embolization during an EVAR using detachable interlock microcoils to prevent type II endoleaks appears safe and effective, although this should be further proven in a larger population.
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Affiliation(s)
- Woo Chul Kim
- Department of Radiology, Inha University Hospital, Inha University School of Medicine, Incheon 400-711, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University Hospital, Inha University School of Medicine, Incheon 400-711, Korea
| | - Kee Chun Hong
- Department of Vascular Surgery, Inha University Hospital, Inha University School of Medicine, Incheon 400-711, Korea
| | - Jang Yong Kim
- Department of Vascular and Endovascular Surgery, The Catholic University of Korea School of Medicine, Seoul 137-701, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University Hospital, Inha University School of Medicine, Incheon 400-711, Korea
| | - Jae Young Park
- Department of Vascular Surgery, Inha University Hospital, Inha University School of Medicine, Incheon 400-711, Korea
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22
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Jun KW, Kim MH, Park KM, Chun HJ, Hong KC, Jeon YS, Cho SG, Kim JY. Mechanical thrombectomy-assisted thrombolysis for acute symptomatic portal and superior mesenteric venous thrombosis. Ann Surg Treat Res 2014; 86:334-41. [PMID: 24949327 PMCID: PMC4062453 DOI: 10.4174/astr.2014.86.6.334] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2013] [Revised: 01/02/2014] [Accepted: 01/03/2014] [Indexed: 02/06/2023] Open
Abstract
Acute portal vein and mesenteric vein thrombosis (PVMVT) can cause acute mesenteric ischemia and be fatal with mortality rate of 37%-76%. Therefore, early diagnosis and prompt venous revascularization are warranted in patients with acute symptomatic PVMVT. Due to advances in catheter-directed treatment, endovascular treatment has been used for revascularization of affected vessels in PVMVT. We report two cases of symptomatic PVMVT treated successfully by transhepatic percutaneous mechanical thrombectomy-assisted thrombolysis.
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Affiliation(s)
- Kang Woong Jun
- Department of Surgery, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea
| | - Mi Hyeong Kim
- Department of Surgery, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea
| | - Keun Myoung Park
- Department of Surgery, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea
| | - Ho Jong Chun
- Department of Radiology, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University Hospital, Inha University, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University Hospital, Inha University, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University Hospital, Inha University, Incheon, Korea
| | - Jang Yong Kim
- Department of Surgery, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea
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23
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Kim NH, Kim WC, Jeon YS, Cho SG, Hong KC. Repair of type I endoleak by chimney technique after endovascular abdominal aortic aneurysm repair. Ann Surg Treat Res 2014; 86:274-7. [PMID: 24851230 PMCID: PMC4024936 DOI: 10.4174/astr.2014.86.5.274] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2013] [Revised: 10/29/2013] [Accepted: 11/01/2013] [Indexed: 11/30/2022] Open
Abstract
Endovascular aneurysm repair is a minimally invasive, durable and effective alternative to open surgery for treatment of abdominal aortic aneurysms (AAA). However, in patients who do not have an adequate sealing zone, open surgical repair is required, which may increase mortality and morbidity. An alternative treatment in patients with challenging anatomy is the so-called "chimney graft" technique. Here, we describe a case using the chimney graft technique for treatment of juxtarenal type I endoleak followed by a previous conventional stent graft insertion to the AAA with good results.
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Affiliation(s)
- Na Hee Kim
- Department of Radiology, Inha University Hospital, Inha University School of Medicine, Incheon, Korea
| | - Woo Chul Kim
- Department of Radiology, Inha University Hospital, Inha University School of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University Hospital, Inha University School of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University Hospital, Inha University School of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University Hospital, Inha University School of Medicine, Incheon, Korea
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24
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Kim JY, Kim YK, Park KM, Jun KW, Kim MH, Kim JI, Yun SS, Hong KC. TCTAP A-108 Initial Experience of Rheolytic Thrombectomy for Acute Thrombotic Lesions in Peripheral Vascular Disease. J Am Coll Cardiol 2014. [DOI: 10.1016/j.jacc.2014.02.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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25
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Lee MI, Shin WY, Choe YM, Park JY, Kim JY, Jeon YS, Cho SG, Hong KC. Relining technique for continuous sac enlargement and modular disconnection secondary to endotension after endovascular aortic aneurysm repair. Ann Surg Treat Res 2014; 86:161-4. [PMID: 24761425 PMCID: PMC3994625 DOI: 10.4174/astr.2014.86.3.161] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2013] [Revised: 10/10/2013] [Accepted: 10/10/2013] [Indexed: 11/30/2022] Open
Abstract
Endotension is an unpredictable late complication of endovascular aortic aneurysm repair (EVAR). This case report will discuss the successful treatment of enlarged aneurysmal sac due to endotension using the relining technique. An 81-year-old male complained of nondecreasing huge aneurysm sac. He had undergone EVAR for infrarenal abdominal aortic aneurysm 7 years prior and no endoleak was found through follow-up. Initially computed tomography-guided sac aspiration was tried, but in vain, Relining using the double barrel technique and tubular endograft for modular diconnection, which was unexpectedly found in the original endograft, were performed sucessfully. During follow-up after the relining procedure, the size of aneurysm sac continued to decrease in size. The relining technique is effective mothod for treating endotension.
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Affiliation(s)
- Moon Il Lee
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Woo Young Shin
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Yun Mee Choe
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Jae Young Park
- Division of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
| | - Jang Yong Kim
- Division of Vascular Surgery, Department of Surgery, The Catholic University of Korea School of Medicine, Seoul, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
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Park JY, Choe YM, Shin WY, Lee JB, Jeon YS, Cho SG, Kwon JN, Hong KC. Intraluminal Snared-Atheroma Causing Common Femoral Artery Stenosis after Using Perclose Suture-Mediated Closure System. Vasc Specialist Int 2013. [DOI: 10.5758/kjves.2013.29.3.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Jae Young Park
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Yun-Mee Choe
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Woo Young Shin
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Joung Bum Lee
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Jung-Nam Kwon
- Department of Surgery, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
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Park JY, Ahn JH, Jeon YS, Cho SG, Kim JY, Hong KC. Iliac vein stenting as a durable option for residual stenosis after catheter-directed thrombolysis and angioplasty of iliofemoral deep vein thrombosis secondary to May–Thurner syndrome. Phlebology 2013; 29:461-70. [DOI: 10.1177/0268355513491724] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Introduction This study aims to evaluate the primary patency and clinical outcomes after stenting for residual iliac venous stenosis during catheter-directed thrombolysis treatment of acute iliofemoral deep vein thrombosis arising from May–Thurner syndome. Methods A retrospective study was done for the all patients who underwent iliac vein stenting after catheter-directed thrombolysis treatment of acute iliofemoral deep vein thrombosis due to May–Thurner syndrome from January 2005 to April 2011 in Inha University Hospital. Patient information was assembled from the electronic medical records, imaging and interview. The patency of iliac vein stent was evaluated with serial computed tomography. Results Fifty-one patients were enrolled. The median age was 70 years (range 44–86). There were 37 females (72.5%). The duration of symptoms of acute deep vein thrombosis before catheter-directed thrombolysis treatment was 6 days (median, range 1–33). Self-expanding stent was used for iliac vein stenting. Initial technical success rate was 94.1%. There were two complications (3.9%): an arteriovenous fistula formation in left popliteal area and a right inguinal hematoma. Mean follow-up was 15.6 months (range 6 days–80.8 months). Primary patency rate after iliac vein stenting was 95.8% at 6 months, 87.5% at 12 months and 84.3% at 24 months. Four patients had recurrent thrombotic occlusion (7.8%) during the follow-up. Conclusion Iliac vein stenting showed good primary patency rate with few complications. Iliac vein stenting is a durable option for residual stenosis after catheter-directed thrombolysis treatment of acute deep vein thrombosis in May–Thurner syndrome.
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Affiliation(s)
- Jae Young Park
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Jong Hyuk Ahn
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Jang Yong Kim
- Division of Vascular Surgery, Department of Surgery, School of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
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Kim JM, Ahn JH, Lim KS, Lee EA, Chun T, Hong KC. Effects of hydroxy-delta-5-steroid dehydrogenase, 3 beta- and steroid delta-isomerase 1 polymorphisms on fat androstenone level and gene expression in Duroc pigs. Anim Genet 2013; 44:592-5. [PMID: 23581486 DOI: 10.1111/age.12041] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2013] [Indexed: 11/28/2022]
Abstract
A high level of androstenone in porcine adipose tissue is a major factor contributing to boar taint. Porcine hydroxy-delta-5-steroid dehydrogenase, 3 beta- and steroid delta-isomerase 1 (3β-HSD, also known as HSD3B1) plays a key role in the hepatic metabolism that catalyzes androstenone to β-androstenol. Therefore, 3β-HSD is a candidate gene for boar taint. This study aimed to investigate functional 3β-HSD polymorphisms in Duroc pigs. We found eight single nucleotide polymorphisms (SNPs) in the full-length porcine 3β-HSD. Four of the SNPs had restriction enzyme sites, and we genotyped them in 147 uncastrated male Duroc pigs using a polymerase chain reaction-restriction fragment length polymorphism method. Pigs with the GG genotype at the g.165262G>A locus (SNP5) had significantly lower androstenone levels than did those with other genotypes (P = 0.030). SNP5 also was associated with differences in 3β-HSD mRNA levels: pigs with the GG genotype had higher levels than those with other genotypes (P = 0.019). The SNP5 polymorphism could affect the hepatic catabolism of androstenone and consequently impact androstenone accumulation in the adipose tissue. Therefore, SNP5 in the 3β-HSD of Duroc pigs could be a useful selective marker for decreasing boar taint.
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Affiliation(s)
- J M Kim
- College of Life Sciences and Biotechnology, Korea University, Seoul, South Korea
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29
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Kim JY, Park JY, Cho SG, Jin CI, Lee WA, Jeon YS, Hong KC. Endovascular repair with chimney technique of abdominal aortic aneurysm with hostile aortic neck. Vascular 2013; 21:323-9. [PMID: 23539067 DOI: 10.1177/1708538113478743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/08/2012] [Indexed: 11/17/2022]
Abstract
Abdominal aortic aneurysm (AAA) with hostile aortic neck is not a good candidate for conventional endovascular aneurysm repair (EVAR), and a recent paper showed that EVAR with chimney technique (Ch-EVAR) yielded reasonable outcome. We report here a case of successful Ch-EVAR treatment of AAA with hostile neck. An 81-year-old man presented with a 71-mm AAA during evaluation of a gastric ulcer. Aortic neck was 30 mm in diameter, 10-15 mm in length and angulated by 100°. EVAR was performed with chimney stenting to both renal arteries, and the patient recovered after transient hematuria. At one-year follow-up, AAA had increased by 7 mm with delayed type I endoleak control without renal insufficiency. The patient needed close follow-up.
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Affiliation(s)
- Jang Yong Kim
- Division of Vascular and Endovascular Surgery, Department of Surgery, School of Medicine, The Catholic University of Korea, Seoul 137-040, Korea
| | | | | | - Chan Ik Jin
- Department of Anestheology, Inha University College of Medicine, Incheon 400-711, Korea
| | - W Anthony Lee
- Vascular Surgery, Christine E Lynn Heart and Vascular Institute, Boca Raton, FL 33431, USA
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Lee MI, Jeon YS, Cho SG, Kong EM, Kim JY, Hong KC. Early Results of Stenting for Chronic Artherosclerotic Occlusive Disease of Superficial Femoral Artery. Vasc Specialist Int 2012. [DOI: 10.5758/kjves.2012.28.4.178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Moon Il Lee
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Eun Mi Kong
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Jang Yong Kim
- Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
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Hong KC, Kim H, Kim JY, Kwak KS, Cho OM, Cha HY, Lim SH, Song YJ. Risk factors and incidence of deep vein thrombosis in lower extremities among critically ill patients. J Clin Nurs 2012; 21:1840-6. [PMID: 22672452 DOI: 10.1111/j.1365-2702.2012.04112.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To investigate how many critically ill patients developed deep vein thrombosis (DVT) during their admission to intensive care units (ICU) and to compare the characteristics of patients with and without deep vein thrombosis. BACKGROUND Critically ill patients are a high-risk group for deep vein thrombosis because they typically have multiple risk factors, such as prolonged immobility, mechanical ventilation and old age. DESIGN A prospective observational study was employed. METHODS The subjects were 90 patients who were older than 18 years of age, who were admitted to an intensive care unit for more than five days and were not provided any prophylactic measures. Data were collected at a university hospital for five months. A duplex scan was performed on day 2.4 on average and repeated between days 5-7 to diagnose deep vein thrombosis. The iliac, femoral, popliteal and tibial veins were examined by compression and colour Doppler methods of the duplex scan by one technician. RESULTS Age, gender and body mass index were significant factors for deep vein thrombosis development (p < 0.05). Ten patients (11.1%) developed deep vein thrombosis during their stay in the intensive care units. CONCLUSIONS The incidence was lower than in Western studies in which patients were not provided prophylaxis, but may increase with an extended observation period as in previous studies. RELEVANCE TO CLINICAL PRACTICE The results of this study could allow ICU nurses to recognise the DVT incidence in critically ill patients. This result could lead to more active prevention and monitoring of DVT by ICU nurses, especially for high-risk patients, such as older or obese patients.
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Affiliation(s)
- Kee Chun Hong
- College of Medicine, Inha University, Incheon, Korea
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Ahn JH, Cho WP, Hong IK, Jeon YS, Cho SG, Kim JY, Hong KC. Effectiveness of Endovascular Treatment of Acute Thrombosis of Arteriovenous Graft for Hemodialysis by Primary Endovascualr Treatment Strategy. Vasc Specialist Int 2012. [DOI: 10.5758/kjves.2012.28.3.148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Jong Hyuk Ahn
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Won Pyo Cho
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - In Ki Hong
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Jang Yong Kim
- Department of Vascular and Endovascular Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
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Hong JB, Shin EH, Kim YK, Park JS, Kim JY, Jeon YS, Cho SG, Hong KC. Measurement of Length between Bronchial Carina and Superior Vena Cava-right Atrial Junction for Optimal Positioning of Central Venous Catheters in the Korean Adult Population. Vasc Specialist Int 2012. [DOI: 10.5758/kjves.2012.28.3.126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Jung Bum Hong
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Eun Ho Shin
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Young Kyun Kim
- Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Ji Sun Park
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Jang Yong Kim
- Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
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Park JY, Jeon YS, Cho SG, Jin CI, Kim KR, Shin WY, Kim JY, Hong KC. Stent fractures after superficial femoral artery stenting. J Korean Surg Soc 2012; 83:183-6. [PMID: 22977767 PMCID: PMC3433557 DOI: 10.4174/jkss.2012.83.3.183] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/24/2012] [Revised: 05/06/2012] [Accepted: 05/19/2012] [Indexed: 11/30/2022]
Abstract
Stent fracture is one of the major factors compromising implanted stent patency due to its consequences including in-stent restenosis, thrombosis, perforation, and migration. Stent fracture can occur from stress (extrinsic or intrinsic) and biomechanical forces at different implantation sites. We report on 2 cases of stent fractures and pertinent literature. One patient, a 75-year-old male, presented with recurrence of claudication 14 months after superficial femoral artery stenting; a femoral artery occlusion with stent fracture was found, and he underwent femoropopliteal bypass. The other patient, a 72-year-old male presented with recurrence of claudication; a stent fracture was found without femoral artery occlusion, and he was treated with additional femoral artery stenting to secure the fracture site.
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Affiliation(s)
- Jae Young Park
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
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Jin J, Kim JM, Hur YS, Cho WP, Lee KY, Ahn SI, Hong KC, Park IS. Clinical significance of clusterin expression in pancreatic adenocarcinoma. World J Surg Oncol 2012; 10:146. [PMID: 22799602 PMCID: PMC3436747 DOI: 10.1186/1477-7819-10-146] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2011] [Accepted: 06/18/2012] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Clusterin is known to be expressed in many human neoplasms, and is believed to participate in the regeneration, migration, and anti-apoptosis of tumor cells. However, few reports have addressed the relationship between the manifestation of clusterin and clinicopathologic parameters in pancreas cancer patients. In the present study, the authors investigated the expression of clusterin and its clinical significance in pancreatic adenocarcinoma. METHODS Immunohistochemical staining was performed for clusterin in tumor tissues obtained from patients who received pancreatic resection with radical intent, and the associations of clusterin expression with various clinicopathologic parameters were analyzed in addition to the relation between its expression and survival. RESULTS Immunoreactivity for clusterin was observed in 17 of the 52 (33%) pancreatic adenocarcinomas examined. In addition, clusterin positivity was found to be associated with preoperative serum carcinoembryonic antigen level, perineural invasion, and, most strongly, lymph node metastasis. The survival analysis identified tumor differentiation and lymph node metastasis as the only significant prognostic factors. CONCLUSION Although not an independent prognostic factor, clusterin immunoreactivity can be used in conjunction with lymph node metastasis to predict survival in cases of pancreatic adenocarcinoma.
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Affiliation(s)
- Junshuo Jin
- Department of Surgery, Inha University School of Medicine, 7-206, 3-Ga Sinheung-Dong, Jung-Gu, Incheon 400-711, Republic of Korea
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Kong EM, Kim JY, Jeon YS, Cho SG, Hong KC. Peak Systolic Velocity >125 cm/s Overdiagnoses Carotid Artery Stenosis >50% in Carotid Duplex Scan. Vasc Specialist Int 2012. [DOI: 10.5758/kjves.2012.28.2.68] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Eun Mi Kong
- Department of Surgery, Inha University School of Medicine, Incheon,
| | - Jang Yong Kim
- Department of Vascular and Endovascular Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine
| | - Yong Sun Jeon
- Department of Radiology, Gachon University of Medicine and Science, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Gachon University of Medicine and Science, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University School of Medicine, Incheon,
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Lee EA, Kim JM, Lim KS, Ryu YC, Jeon WM, Hong KC. Effects of variation in porcine MYOD1 gene on muscle fiber characteristics, lean meat production, and meat quality traits. Meat Sci 2012; 92:36-43. [PMID: 22554470 DOI: 10.1016/j.meatsci.2012.03.018] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2011] [Revised: 03/27/2012] [Accepted: 03/31/2012] [Indexed: 11/25/2022]
Abstract
Three single nucleotide polymorphisms (SNPs) in the porcine MYOD1 gene were used for association analysis and haplotype construction to evaluate the effects of their substitution. Four hundred and three pigs of Yorkshire and Berkshire breeds were used. The mRNA expression levels of MYOD1 were examined. The g.489C>T and g.1264C>A SNPs were significantly associated with several muscle fiber characteristics, the loin eye area, and lightness. Particularly, animals having hetero-genotypes of both sites showed good performance both in lean meat production and meat quality traits. The results of haplotype substitution were similar to the associations of individual SNPs. Moreover, the 2 SNPs had significant effects on mRNA expression. Therefore, the g.489C>T and g.1264C>A SNPs in MYOD1 may be meaningful DNA markers that can be used for improving important porcine economic traits.
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Affiliation(s)
- E A Lee
- Division of Biotechnology, College of Life Sciences and Biotechnology, Korea University, 1, 5-Ka, Anam-dong, Seongbuk-gu, Seoul 136-701, South Korea
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Hong JB, Jeon YS, Cho SG, Kim JY, Hong KC. AS-285: Endovascular Treatment as a Reasonable Option for Extensive Total Occlusion of Iliac Artery. Am J Cardiol 2012. [DOI: 10.1016/j.amjcard.2012.01.330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Ahn JH, Kim JY, Joen YS, Cho SG, Hong KC. AS-286 Iliac Vein Stenting as a Durable Option for Residual Stenosis after Catheter Based Treatment of DVT. Am J Cardiol 2012. [DOI: 10.1016/j.amjcard.2012.01.130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Ahn JH, Kim JY, Jeon YS, Cho SG, Park JK, Lee KJ, Hong KC. Successful treatment of type I endoleak of common iliac artery with balloon expandable stent (Palmaz XL stent) during endovascular aneurysm repair. J Korean Surg Soc 2012; 82:59-62. [PMID: 22324049 PMCID: PMC3268146 DOI: 10.4174/jkss.2012.82.1.59] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/14/2011] [Revised: 07/29/2011] [Accepted: 08/29/2011] [Indexed: 11/30/2022]
Abstract
Type 1 endoleak of common iliac artery (type Ib endoleak) should be treated during endovascular aneurysm repair (EVAR). An 86-year-old female was diagnosed with abdominal aortic aneurysm measuring 6.6 cm in diameter and right internal iliac artery aneurysm measuring 4.0 cm in diameter. She underwent EVAR after right internal iliac artery embolization. There was type Ib endoleak, which was repaired by balloon-expandable stent, Palmaz XL stent (Cordis). We report successful treatment of type Ib endoleak with Palmaz XL stent, which may be considered as an alternative option for type Ib endoleak after EVAR.
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Affiliation(s)
- Jong Hyuk Ahn
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
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Lee JH, Jeon YS, Cho SG, Choi SK, Shin WY, Kim JY, Hong KC. Adjunctive Procedure as Treatment of Type I Endoleak after EVAR. Vasc Specialist Int 2011. [DOI: 10.5758/kjves.2011.27.4.184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Joo Hyung Lee
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
| | - Sun Keun Choi
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Woo Young Shin
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Jang Yong Kim
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
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Lee JH, Kim HJ, Choi SK, Shin WY, Kim JY, Hong KC, Jeon YS, Cho SG. Effectiveness of Embolization of Internal Iliac Artery during Endovascular Aneurysm Repair. Vasc Specialist Int 2011. [DOI: 10.5758/kjves.2011.27.4.151] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Joo Hyung Lee
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Hyun Ji Kim
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Sun Keun Choi
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Woo Young Shin
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Jang Yong Kim
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University College of Medicine, Incheon, Korea
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Jeong IO, Kim JY, Choe YM, Choi SK, Heo YS, Lee KY, Kim SJ, Cho YU, Ahn SI, Hong KC, Kim KR, Shin SH. Efficacy and feasibility of laparoscopic subtotal cholecystectomy for acute cholecystitis. Korean J Hepatobiliary Pancreat Surg 2011; 15:225-30. [PMID: 26421043 PMCID: PMC4582466 DOI: 10.14701/kjhbps.2011.15.4.225] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/04/2011] [Revised: 09/20/2011] [Accepted: 10/20/2011] [Indexed: 01/11/2023]
Abstract
Backgrounds/Aims For patients with acute cholecystitis, conversion from laparoscopic cholecystectomy to open surgery is not uncommon due to possibilities of serious hemorrhage at the liver bed and bile duct injury. Recent studies reported successful laparoscopic subtotal cholecystectomy for acute cholecystitis. The purpose of this study was to determine the efficacy and feasibility of such an operation based on the experience of surgeons at our facility. Methods In this study, we enrolled 144 patients who had received either laparoscopic subtotal cholecystectomy (LSC), laparoscopic cholecystectomy (LC), or open cholecystectomy (OC) for acute cholecystitis from January 2004 to December 2009 at the Department of Surgery of our hospital. Their symptoms, signs, operative findings, pathologic results and postoperative results were compared and analyzed. Results There were 26 patients in the LSC group 80 in the LC group and 38 in the OC group. There were no differences in mean age, sex, and symptoms of acute cholecystitis. The LSC group showed higher CRP levels (p<0.001) and a higher grade according to the Tokyo criteria (p=0.001). The mean operative time was 115.6 minutes and mean blood loss was 158.9 ml without intra-operative or postoperative transfusion. There weren't any bile duct injuries during the operation. No group suffered bile leakage. Drains were removed 3.3 days after the operation in the LC group, the shortest time compared to the other groups (p<0.001). LC and LSC groups demonstrated shorter postoperative hospital days and time to diet resumption than the OC group (p<0.001). Conclusions LSC appears to be a safe and effective treatment in cases of severe acute cholecystitis that require consideration of conversion to open surgery.
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Affiliation(s)
- In Oh Jeong
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Jang Yong Kim
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Yun-Mee Choe
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Sun Keun Choi
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Yoon Seok Heo
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Keon-Young Lee
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Sei Joong Kim
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Young Up Cho
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Seung-Ik Ahn
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Kyung Rae Kim
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
| | - Seok-Hwan Shin
- Department of Surgery, Inha University College of Medicine, Incheon, Korea
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Kim JM, Lee KT, Lim KS, Park EW, Lee YS, Hong KC. Effects of p.C430S polymorphism in the PPARGC1A gene on muscle fibre type composition and meat quality in Yorkshire pigs. Anim Genet 2011; 41:642-5. [PMID: 20412126 DOI: 10.1111/j.1365-2052.2010.02042.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The peroxisome proliferator-activated receptor-gamma coactivator-1A (encoded by PPARGC1A) is involved in the formation of type I fibres. Therefore, the PPARGC1A gene can be considered as a functional candidate gene for muscle fibre type composition and meat quality in pigs. The aim of this study was to investigate the associations of the p.C430S polymorphic site in exon 8 of the PPARGC1A gene with muscle fibre characteristics and meat quality traits. The polymorphism was genotyped by PCR-RFLP using AluI restriction enzyme on a total of 152 Yorkshire pigs. Statistical analyses revealed that the p.C430S genotypes significantly affected number (P < 0.05) and area (P < 0.01) of type I muscle fibre, and were significantly associated with muscle pH (P < 0.001) and lightness(P < 0.01). On the basis of these results, we suggest that the p.C430S polymorphism can induce variation of type I fibre formation in porcine longissimus dorsi muscle and that it can be used as a meaningful molecular marker for better meat quality.
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Affiliation(s)
- J M Kim
- Division of Biotechnology, College of Life Sciences and Biotechnology, Korea University, 5-1 Anam-dong, Sungbuk-gu, Seoul, South Korea
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Lee SH, Choe JH, Choi YM, Jung KC, Rhee MS, Hong KC, Lee SK, Ryu YC, Kim BC. The influence of pork quality traits and muscle fiber characteristics on the eating quality of pork from various breeds. Meat Sci 2011; 90:284-91. [PMID: 21840135 DOI: 10.1016/j.meatsci.2011.07.012] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2011] [Revised: 07/11/2011] [Accepted: 07/15/2011] [Indexed: 11/16/2022]
Abstract
The purpose of this study was to compare parameters associated with pork quality, muscle fiber, and eating quality among various breeds, and to examine if differences in eating quality were associated to pork quality and muscle fiber characteristics. For carcass and pork quality, although there were significant differences among breeds, the values of parameters in all pigs were assigned a normal quality class, a likely outcome of the similarity in the area percentage of type I and IIB fibers. For eating quality, pork loins from Berkshire pigs were more tender and full of pork flavor than Landrace and Yorkshire pigs. Except juiciness and mouth coating, over 20% of the variability in the eating quality parameters can be explained by pork quality traits and muscle fiber characteristics using multiple regression analysis. Furthermore, differences in muscle pH(24h), cooking loss, shear force, and NPPC marbling score could explain a large proportion of variation in eating quality parameters associated with the texture of pork.
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Affiliation(s)
- S H Lee
- Division of Food Bioscience and Technology, Korea University, Seongbuk-Gu, Seoul 136-701, South Korea
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Hong IK, Kim JY, Lee YJ, Choe YM, Choi SK, Lee KY, Kim SJ, Cho YU, Ahn SI, Hong KC, Shin SH, Kim KR, Heo YS. The Effect of Duodenojejunal Bypass for T2DM Patients Below BMI 25 kg/m 2in Early Postoperative Period. J Korean Surg Soc 2011. [DOI: 10.4174/jkss.2011.80.2.103] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- In Ki Hong
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Jang Young Kim
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Yeon Ji Lee
- Department of Family Medicine, Inha University School of Medicine, Incheon, Korea
| | - Yun-Mee Choe
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Sun Keun Choi
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Keon Young Lee
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Sei-Joong Kim
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Young Up Cho
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Seung Ik Ahn
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Seok Hwan Shin
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Kyung Rae Kim
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Yoon Seok Heo
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
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Kim WC, Hong KC, Kim JY, Cho SG, Jeon YS. Successful hybrid operation of an acute mobile thrombus in the abdominal aorta induced by chemotherapy. J Korean Surg Soc 2011; 81 Suppl 1:S78-81. [PMID: 22319746 PMCID: PMC3267073 DOI: 10.4174/jkss.2011.81.suppl1.s78] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/14/2011] [Revised: 07/05/2011] [Accepted: 07/08/2011] [Indexed: 11/30/2022]
Abstract
Acute mobile thrombus of the abdominal aorta after chemotherapy is a very unusual finding, which can be a potential source of arterial embolism. We report here on a case of an acute mobile aortic thrombus with renal infarction. We successfully treated the patient with hybrid operation-open surgical and endovascular approach. Our case shows that hybrid treatment using wire-directed balloon catheter thrombectomy is a feasible, minimally-invasive treatment for a mobile aortic thrombus.
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Affiliation(s)
- Woo Chul Kim
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Kee Chun Hong
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Jang Yong Kim
- Department of Surgery, Inha University School of Medicine, Incheon, Korea
| | - Soon Gu Cho
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
| | - Yong Sun Jeon
- Department of Radiology, Inha University School of Medicine, Incheon, Korea
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Min JY, Cho SG, Jeon YS, Kong E, Min KB, Park SG, Kim JY, Cho JS, Hong KC. Cigarette smoking and vascular conditions in elderly males: Evidence from a community-based study. Int J Cardiol 2011; 146:251-2. [DOI: 10.1016/j.ijcard.2010.10.063] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2010] [Accepted: 10/23/2010] [Indexed: 11/29/2022]
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Jeong DW, Choi YM, Lee SH, Choe JH, Hong KC, Park HC, Kim BC. Correlations of trained panel sensory values of cooked pork with fatty acid composition, muscle fiber type, and pork quality characteristics in Berkshire pigs. Meat Sci 2010; 86:607-15. [PMID: 20659787 DOI: 10.1016/j.meatsci.2010.04.011] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2009] [Revised: 04/15/2010] [Accepted: 04/20/2010] [Indexed: 11/29/2022]
Abstract
The objective was to examine the relationship of trained panel sensory scores of cooked pork with fatty acid composition, muscle fiber type, and meat quality characteristics from Berkshire pigs. No or few associations were found between the panel sensory scores of cooked meat, especially tenderness attributes, and fatty acid composition; however, intramuscular fat content positively correlated with off-flavor score (r=0.31). On the other hand, the morphological characteristics of muscle fibers were correlated with panel sensory values. Muscles with smaller cross-sectional area and higher density of fibers were more closely associated with softer, more tender panel scores and a lower number of chews than muscles with larger fiber area and lower density of fibers. The water holding capacity test of filter-paper fluid uptake was moderately correlated with panel scores of softness (r=0.33), initial tenderness (r=0.38), chewiness (r=0.40), juiciness (r=-0.27), flavor intensity (r=-0.23), and off-flavor (r=0.30). Panel sensory values of Berkshire pig meat was moderately related to postmortem meat quality, especially water holding capacity. A more thorough understanding of the relationships between fatty acid composition and muscle fiber type with palatability is needed.
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Affiliation(s)
- D W Jeong
- Division of Food Bioscience and Technology, College of Life Sciences and Biotechnology, Korea University, 5-1 Anam-dong, Sungbuk-gu, Seoul 136-713, South Korea
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Jeon YS, Yoon YH, Cho JY, Baek WK, Kim KH, Hong KC, Kim JT. Catheter-directed thrombolysis with conventional aspiration thrombectomy for lower extremity deep vein thrombosis. Yonsei Med J 2010; 51:197-201. [PMID: 20191009 PMCID: PMC2824863 DOI: 10.3349/ymj.2010.51.2.197] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2009] [Revised: 05/26/2009] [Accepted: 07/07/2009] [Indexed: 11/27/2022] Open
Abstract
PURPOSE The purpose of this study is to evaluate treatment outcomes in patients with symptomatic deep vein thrombosis (DVT) who had undergone a catheter-directed thrombolysis with conventional aspiration thrombectomy for the treatment of lower extremity deep vein thrombosis. MATERIALS AND METHODS The authors retrospectively reviewed the records of 74 patients (mean age 61 +/- 15) that underwent a catheter-directed thrombolysis with conventional aspiration thrombectomy. A retrieval inferior vena cava (IVC) filter was placed to protect against a pulmonary embolism in 60 patients (81%). Stenting and balloon angioplasty were performed in 37 patients (50%) under the left common iliac vein compression. RESULTS Sixty-seven patients (91%) showed a clinical improvement within 48 hours, but seven patients (9%) showed no improvement. Multi detector computerized tomographic venography (MDCT venography) at discharge showed no thrombus in 15 patients (20%) and partial thrombus in 52 (70%). Twenty-eight patients (38%) developed post-thrombotic syndrome at 3.0 +/- 4.2 months postoperatively. Six patients (8%) were admitted due to DVT recurrence at a mean of 5.6 +/- 7.4 months postoperatively. Sixty-nine patients underwent follow up MDCT venography at 5.7 +/- 5.6 months. fifty (72%) of these showed no thrombus, 15 (22%) partial thrombus, and 4 (6%) showed obstruction. Twenty-eight of 61 (46%) were asymptomatic, twenty-eight (46%) had moderate improvement, and four (6%) were mildly improved by a telephone interview (81%) at 22.8 +/- 10.7 months postoperatively. CONCLUSION Catheter-directed thrombolysis with conventional aspiration thrombectomy is an effective treatment for lower extremity deep vein thrombosis and produces satisfactory clinical results.
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Affiliation(s)
- Yong Sun Jeon
- Department of Radiology, Inha University Hospital, Incheon, Korea
| | - Yong Han Yoon
- Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Incheon, Korea
| | - Joung Ym Cho
- Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Incheon, Korea
| | - Wan Ki Baek
- Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Incheon, Korea
| | - Kwang Ho Kim
- Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Incheon, Korea
| | - Kee Chun Hong
- Department of General Surgery, Inha University Hospital, Incheon, Korea
| | - Joung Taek Kim
- Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Incheon, Korea
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