Among various vascular interventional procedures, there are some procedures of vascular recanalization often encountered by primary physicians in clinical practice. These are percutaneous transluminal angioplasty (PTA) and stent application in the lower extremity ishemia, catheter-directed thrombolysis with PTA, stenting for iliofemoral deep vein thrombosis, and interventional management of arteriovenous fistula and graft for hemodialysis access. PTA and stent are safe and effective treatment for iliac arterial stenosis and occlusion with a good long-term patency rate. Long-term effectiveness of femoropopliteal stent is yet to be determined. Catheter-directed thrombolysis is a new emerging vascular intervention for acute iliofemoral deep vein thrombosis. May-Thurner syndrome can be effectively treated with thrombolysis in the iliofemoral vein followed by PTA ad stenting for the left iliac vein stenosis or occlusion. For the failing arteriovenous fistula or grafts in patients with hemodialysis, interventional radiologists can play an important role for the maintenance of the patency by percutaneous thrombolysis and balloon dilatation. It will be very helpful for the primary physicians to understand the role of the interventional radiologists and the indications, techniques, and results of those vascular interventional procedures often encountered in daily practice.
Angioplasty ; Arteriovenous Fistula ; Constriction, Pathologic ; Dilatation ; Humans ; Iliac Vein ; Lower Extremity ; May-Thurner Syndrome ; Renal Dialysis ; Stents ; Transplants ; Veins ; Venous Thrombosis

No abstract available.
Adenomatous Polyposis Coli*

No abstract available.
Infant ; Male ; Female ; Humans

No abstract available.

No abstract available.
Germ Cells* ; Neoplasms, Germ Cell and Embryonal*

BACKGROUND: Traffic accident is a catastrophic event which induces severe stress to the victims. According to psychoneuroimmunolgic studies, the stress induced by traffic accident may affect emotion, neuroendocrine and immune systems. This study was designed to investigate what is the effect of the stress induced by traffic accident on the secretions of cortisol, IL-1alpha and IL-6 and the relationship with blood levels of glucose and lactic dehydrogenase in the traffic accident victims. METHODS: Thirty five traffic accident victims and eleven normal healthy control persons were included in this prospective, randomized study. Ten milliliters of blood were drawn at 1hr and after 12hr after trauma from the victims and normal control to evaluate the parameters. RESULTS: The level of cortisol was significantly different between traffic accident patients(115.181microgram/ml) and normal healthy control(39.10microgram/ml) after 12hrs (p<0.05). There were significant differences at the level of glucose(control: 139.7mg/ml;patient: 75.2mg/ml) and IL-6 (control: 1.01pg/ml; patient: 238.46pg/ml) between control and traffic accident patients at 1hr. CONCLUSION: This results suggested that the secretion of cortisol, IL-6, and the blood levels of glucose were markedly changed by the stress of traffic accident.
Accidents, Traffic* ; Cytokines* ; Glucose* ; Humans ; Hydrocortisone* ; Immune System ; Interleukin-6 ; Oxidoreductases ; Prospective Studies

No abstract available.

No abstract available.
Blood Vessel Prosthesis* ; Stents*

The most important factor in the effective chemotherapy of the bone and joint tuberculosls is based on the use of sensitive antituberculous drugs. Failure of chemotherapy to control the bone and joint tuberculosis may be caused by drug resistance. For twenty years from 1960 to 1979, we observed and analysed for bacteriological study in terms of primary and acquired resistances in 120 bone and joint tuberculosis patients who yielded positive on culture for AFB. The results were obtained as follows: 1. Cultures for AFB with 412 surgical specimens taken from the tuberculous focl of bone and joints have been carrled out, Out of the 412 patients, 120 cultures for AFB were positive (29.1%) and no significant difference in all years. The cases were then grouped in 5 years for convenience. 2. Of the 120 culture-positive patients, 40.8% had resistance to 1 or more drugs. 3. 23.3% had drug resistance to 1 drug only, 6.7% to 2 drugs and 10.8% to all 3 drugs respectively. 4. Resistant cases to INH, PAS, SM were 25 (20.8%), 32 (26.7%) and 26 (21.7%) respectively. 5. Drug resistances to 1 or more drugs by involved site were 38.8% In spine, 45.8% in hip and 23.3% in knee. 6. Of the 61 patients with no history of previous chemotherapy, 16 (26.2%) had resistance to 1 or more drugs, while ot the 59 patients with history of prevlous chemotherapy, 33 (55.9%) had resistance. 7. Drug resistance was found to be proportionally Increased to the duration of previous chemotherapy, 8. Drug resistance was mainly related to previous history of chemotherapy rather than duration of illness. 9. Obtalning drug resistance to all 3 drugs tends to be increased every-year regardless of prevlous chemotherapy.
Drug Resistance ; Drug Therapy ; Hip ; Humans ; Joints ; Knee ; Spine ; Tuberculosis ; Tuberculosis, Osteoarticular

The incidence of ectopic pregnancy is apparently increasing in recent years. In order to gain greater insight into the diagnosis and management of ectopic pregnancies, this study was undertaken on 100 patients with ectopic pregnancy(admitted via ER) who were operated and confirmed by histopathological study at the department of Obstetrics and Gynecology of Hallym University(Kangdong Sacred Heart Hospital) from January, 1996 to June, 1997. The results were as follows; 1. The hospital incidence of ectopic pregnancy was 1 in 11.6 deliveries(168/1954). 2. The most frequent age group was in 25-34 years of ages(58%). 3. Nullipara was 32 cases(32%) and number of cases who had 1, 2 and 3 deliveries were 35(35%), 31(31%) and 2(2%) respectively. 4. The most frequent number of pregnancy was second times(24%) and 65% of cases have been experienced artificial abortion. 5. In the past history, of possible predisposing factors, 65% had at least one abortion, 17% ectopic pregnancy, 17% cesarean section and 13% had previous laparoscopic tubal sterilization, but 19% showed no special distinct. 6. The main clinical symptoms are 96% in lower abdominal pain, 95% in amenorrhea and 65% in vaginal spotting and bleeding. 7. The most frequent interval between LMP and onset of symptoms was 6-8 weeks(49%). 8. Urine hcG test was positive in 94.9% and culdocentesis was positive in 94.3%. 9. In initial hemoglobin level, more than 11.0g% was 55%, however less than 10.0g% was 20%. 10. In initial systolic blood pressure at hospital, most of them were under normal condition, however 30% were under 90mmHg. 11. The amount of intraabdominal hemorrhage under 500cc was 42%(highest rate), 25% under 500cc-1000cc(second rate) and 6 cases overed 200cc. 12. The site of ectopic pregnancy was 88% in fallopian tube, 9% in uterine conus, 2% in intraabdomen and 1% in cervix. 13. The most common surgical procedure was ipsilateral salpingectomy(82%), of which 22 cases were operated by laparoscopy. 14. There was no fatal case in 100 ectopic pregnancy.
Abdominal Pain ; Amenorrhea ; Blood Pressure ; Causality ; Cervix Uteri ; Cesarean Section ; Conus Snail ; Diagnosis ; Emergencies* ; Emergency Service, Hospital* ; Fallopian Tubes ; Female ; Gynecology ; Heart ; Hemorrhage ; Humans ; Incidence ; Laparoscopy ; Metrorrhagia ; Obstetrics ; Pregnancy ; Pregnancy, Ectopic* ; Sterilization, Tubal