지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.12
- 수록면
- 491 - 496 (6page)
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Purpose: Acute ischemia of the arm is uncommon compared with events in the leg and much less attention has been paid to the management of acute arterial thromboembolism of the upper extremities. The aim of this study was to evaluate the clinical aspects and treatment outcomes of acute upper extremity thromboembolism.
Methods: From January 2007 to March 2010, seven patients underwent the management of upper extremity thromboembolism in three Seoul National University (SNU)-affiliated hospitals. We retrospectively reviewed the medical records.
Results: The mean age was 64.6 years (range 48∼93 years) and 4 patients (57.1%) were female. Distribution of the thromboembolism were 4 in brachial, 1 in axillary plus brachial, 1 in ulnar and radial, and 1 in axillary artery, respectively. Time from symptom onset to presentation was 3.5 days (range 1∼10 days). Primary treatment modality were Fogarty catheter embolectomy in 3 cases, bypass surgery in 1 case, and urokinase thrombolysis in 2 cases. A patient without symptoms was treated conservatively. Patients receiving primary thrombolytic therapy underwent surgical approach due to recurred thromboembolism during admission. In our 11.2 months of mean follow-up, there was recurrence but 1 patient died from cerebral infarction after 1.5 year of discharge.
Conclusion: In this study, functional outcome of acute upper extremity ischemia following appropriate treatments was excellent. Key features of treatment are shortening the time interval of diagnosis to primary treatment, proper anticoagulation, and treatment of underlying conditions. Larger-volume, long-term results and meta-analysis of upper extremity thromboembolism are required to establish standardized treatment in Korea.
Methods: From January 2007 to March 2010, seven patients underwent the management of upper extremity thromboembolism in three Seoul National University (SNU)-affiliated hospitals. We retrospectively reviewed the medical records.
Results: The mean age was 64.6 years (range 48∼93 years) and 4 patients (57.1%) were female. Distribution of the thromboembolism were 4 in brachial, 1 in axillary plus brachial, 1 in ulnar and radial, and 1 in axillary artery, respectively. Time from symptom onset to presentation was 3.5 days (range 1∼10 days). Primary treatment modality were Fogarty catheter embolectomy in 3 cases, bypass surgery in 1 case, and urokinase thrombolysis in 2 cases. A patient without symptoms was treated conservatively. Patients receiving primary thrombolytic therapy underwent surgical approach due to recurred thromboembolism during admission. In our 11.2 months of mean follow-up, there was recurrence but 1 patient died from cerebral infarction after 1.5 year of discharge.
Conclusion: In this study, functional outcome of acute upper extremity ischemia following appropriate treatments was excellent. Key features of treatment are shortening the time interval of diagnosis to primary treatment, proper anticoagulation, and treatment of underlying conditions. Larger-volume, long-term results and meta-analysis of upper extremity thromboembolism are required to establish standardized treatment in Korea.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (17)
참고문헌 신청
1. [학술지(정기간행물)] - Martinet O / 1994 / Clinical aspects and diagnosis of arterial embolism of the upper extremity / Helv Chir Acta 60 : 875 ~ 877
2. [학술지(정기간행물)] - O'Connell JB / 2009 / Proper evaluation and management of acute embolic versus thrombotic limb ischemia / Semin Vasc Surg 22 : 10 ~ 16
3. [학술지(정기간행물)] - Kim KH / 2003 / Clinical analysis of acute limb ischemia / J Korean Soc Vasc Surg 19 : 139 ~ 146
4. [학술지(정기간행물)] - Karapolat S / 2006 / Arterial embolectomy: a retrospective evaluation of 730 cases over 20 years / Surg Today 36 : 416 ~ 419
5. [학술지(정기간행물)] - Ueberrueck T / 2007 / Risk factors and management of arterial emboli of the upper and lower extremities / J Cardiovasc Surg (Torino) 48 : 181 ~ 186
2. [학술지(정기간행물)] - O'Connell JB / 2009 / Proper evaluation and management of acute embolic versus thrombotic limb ischemia / Semin Vasc Surg 22 : 10 ~ 16
3. [학술지(정기간행물)] - Kim KH / 2003 / Clinical analysis of acute limb ischemia / J Korean Soc Vasc Surg 19 : 139 ~ 146
4. [학술지(정기간행물)] - Karapolat S / 2006 / Arterial embolectomy: a retrospective evaluation of 730 cases over 20 years / Surg Today 36 : 416 ~ 419
5. [학술지(정기간행물)] - Ueberrueck T / 2007 / Risk factors and management of arterial emboli of the upper and lower extremities / J Cardiovasc Surg (Torino) 48 : 181 ~ 186
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