Journal Detail Information

1

Cite

Share

Extensive Visceral Vein Thrombosis Associated with Deep Vein Thrombosis.

Seong Uk KWON ; Sang Eok LEE ; Yu Mi RA ; In Seok CHOI ; Won Jun CHOI ; Dae Sung YOON ; Hyun Sik MIN ; Po Soon KANG

Journal of the Korean Society for Vascular Surgery.2011;27(1):34-37.

Extensive visceral vein thrombosis, including the femoral vein, iliac vein, superior mesenteric vein, splenic vein and portal vein, is an uncommon type of thrombosis that is associated with significant mortality and morbidity. Making an early diagnosis and adequate management are very important. We present here the case of a 39-year-old woman with extensive visceral vein thrombosis and complicated small bowel necrosis and perforation. She had no known prothrombotic conditions, but the laboratory findings showed an elevated level of factor VIII. The patient's condition improved without complication after resection of the infarcted and perforated small bowel along with immediate postoperative anticoagulant therapy. On the follow up, the size of the thrombosis was decreased and there was no complication.
Adult ; Early Diagnosis ; Factor VIII ; Female ; Femoral Vein ; Follow-Up Studies ; Humans ; Iliac Vein ; Mesenteric Veins ; Necrosis ; Portal Vein ; Splenic Vein ; Thrombosis ; Veins ; Venous Thrombosis

2

Cite

Share

Iliac Artery Thrombosis Due to Plaque Rupture During Performance of Anterior Lumbar Interbody Fusion: A Case Report.

Sang Hyun AHN ; Seung Kee MIN ; Seong Yup KIM ; Sang Il MIN ; In Mok JUNG ; Jongwon HA ; Sang Joon KIM

Journal of the Korean Society for Vascular Surgery.2011;27(1):31-33.

Anterior lumbar interbody fusion (ALIF) is a popular procedure that is used in spine surgery for treating disc herniation. Although this operation is usually safe, it can cause vascular injury, including arterial thrombosis. We report here on the case of 59-year-old woman who developed acute arterial thrombosis during ALIF. Toward the end of the operation, the somatosensory evoked potential signals decreased more than 50% in the left lower extremity, suggesting acute arterial occlusion. Therefore, a vascular surgeon was contacted and immediate thrombo-endarterectomy was performed. Thrombosis developed due to rupture of preexisting plaque during the arterial retraction. After the endarterectomy, the somatosensory evoked potentials signals and pulse were restored. To avoid vascular injury, preoperative evaluation of the vascular images and careful handling of the vessels during surgery are important. A vascular surgeon should be available not only in the event of complications, but such a surgeon should also be included from the planning of the operation.
Endarterectomy ; Evoked Potentials, Somatosensory ; Female ; Handling (Psychology) ; Humans ; Iliac Artery ; Lower Extremity ; Middle Aged ; Rupture ; Spine ; Thrombosis ; Vascular System Injuries

3

Cite

Share

Surgical Treatment of Acute Arterial Occlusion after Applying the Vascular Closure Device for Hemostasis of Femoral Arteriotomy in Vascular Intervention.

Jae Chul YOON ; Jun Seoung KWON ; Han Young KIM ; Hee Jun KANG ; Dae Kun YOON ; Sung Eun CHON ; Jae Jung LEE ; Jeong Hun LEE ; Samuel LEE ; Sung Gil PARK

Journal of the Korean Society for Vascular Surgery.2011;27(1):27-30.

Vascular intervention via the femoral artery can cause vascular access complications and complications from closure of the arteriotomic incision site such as bleeding, thrombotic complications and vascular trauma. These types of complications occur in about 2% to 10% of the cases. After removal of the catheter, hemostasis is traditionally achieved by manual compression as a standard method. Many vascular closure devices have been developed in an attempt to improve the patient's comfort and to decrease the time to ambulation. Yet the safety and effectiveness of these vascular closure devices as compared to that of manual compression remains unclear. Herein we report on a case of femoral arterial occlusion due to vascular closure devices and the operative management.
Catheters ; Femoral Artery ; Hemorrhage ; Hemostasis ; Walking

4

Cite

Share

Transition of Treatment Modalities for Peripheral Arterial Occlusive Disease for the Recent 5 Years According to the TASC II Classifications in a Single Institution.

Won Pyo CHO ; Hye Jung CHA ; Eun Mi KONG ; Yong Sun JEON ; Soon Gu CHO ; Jang Yong KIM ; Kee Chun HONG ; Yoon Seok HEO ; Keon Young LEE ; Sei Joong KIM ; Young Up CHO ; Seung Ik AHN

Journal of the Korean Society for Vascular Surgery.2011;27(1):23-26.

PURPOSE: Endovascular treatment for peripheral arterial obstructive disease (PAOD) is replacing traditional arterial bypass in the western world. Yet there are few reports to evaluate the pattern of clinical practice pattern for PAOD in Korea. This study was conducted to evaluate the treatment pattern for PAOD between endovascular treatment and arterial bypass, and to compare their clinical characteristics. METHODS: We conducted a retrospective study on the prospectively maintained database of patients who underwent endovascular treatment and arterial bypass for PAOD from March 2005 to December 2009 in Inha University Hospital. The aortoiliac lesions and femoropopliteal lesions were categorized by the Trans Atlantic Inter-Society Consensus (TASC) II classifications. Their treatments and clinical characteristics were compared between the former period (2005~2007 y) and the latter period (2008~2009 y). RESULTS: Three hundred nine cases (178 patients) were treated for PAOD by either arterial bypass or endovascular treatment. The patients' mean age was 69.1+/-11.3 year old. There was no difference in clinical characteristics between the two periods except for age. Endovascular treatments of both aortoiliac and femoropopliteal arterial lesions were increased in the latter period (P=0.023, P<0.001). Also, the endovascular treatments were increased in the TASC C and D aortoiliac and femoropopliteal lesions in the latter period (P=0.020, P<0.001). CONCLUSION: Endovascular treatment for PAOD is increasing in clinical practice and this shows feasibility in critically ill patient with TASC C and D lesions, although arterial bypass is still important.
Angioplasty ; Arterial Occlusive Diseases ; Atherosclerosis ; Consensus ; Critical Illness ; Humans ; Korea ; Physician's Practice Patterns ; Prospective Studies ; Retrospective Studies ; Western World

5

Cite

Share

Intervention for Iliac Artery Stenosis.

Dong Ik KIM

Journal of the Korean Society for Vascular Surgery.2001;17(2):313-316.

No abstract available.
Constriction, Pathologic* ; Iliac Artery*

6

Cite

Share

A Salvaging Procedure with Composite Graft Configuration in Poor Outflow Arterio-Venous Fistula for Hemodialysis: Report of Two Cases.

Hong Gi LEE ; Oh Jung KWON ; Jin Young KWAK ; Yong Soo KIM

Journal of the Korean Society for Vascular Surgery.2001;17(2):309-312.

Maturation failure after creation of autogenous arterio-venous fistula (AVF) is closely related to unrecognized stenosis or sclerosis of outflow veins. To address this problem, we chose to salvage a segment of venous conduit. A 51 year-old male patient underwent an AVF operation at the snuffbox. Postoperatively, fistula flow was not well developed on the upper forearm despite venous dilatation up to the dorsal radial branch of cephalic vein. After 3 weeks, a graft was inserted between the dilated cephalic vein and antecubital vein. The other patient was a 71 year-old man who underwent an AVF operation above the left wrist. Despite partial dilatation of veins near the anastomosis, flow was not well developed on the upper forearm. After 8 days, a graft was inserted between the dilated cephalic vein and antecubital vein. In summary, we interposed a segment of synthetic graft between dilated veins for primary maturation failure of autogenous AVF. This composite graft configuration may have advantage over total graft configuration, which should be confirmed by further study.
Aged ; Constriction, Pathologic ; Dilatation ; Fistula* ; Forearm ; Humans ; Male ; Middle Aged ; Renal Dialysis* ; Sclerosis ; Transplants* ; Veins ; Wrist

7

Cite

Share

Small Bowel Infarction or Necrosis Due to Mesenteric Venous Thrombosis.

Sang Yong NAM ; Yong Sin KIM

Journal of the Korean Society for Vascular Surgery.2001;17(2):304-308.

Acute mesenteric infarction due to mesenteric venous thrombosis was first reported by Elliot in 1895. In 1925 Warren and Eberhard characterized mesenteric venous thrombosis as an unique disease. PURPOSE: Mesenteric venous thrombosis is responsible for 5~15% of causes in acute mesenteric infarction. There are idiopathic thrombosis that has no specific causative disease and secondary thrombosis due to intraabdominal infection, tumor, portal hypertension, hematologic disorders and trauma to portal venous system etc. A diagnosis is made by Duplex scan, CT, MRA and angiography. CT has a 90% sensitivity rate. Bowel wall thickening and ascites are observed in advanced state. Angiographay can be used when the diagnosis is uncertain. Mortality is reported as high as 13~50% and major complications include short bowel syndrome, wound infection and sepsis etc. METHOD: We exprienced two patients (male 36 year old, male 47 year old) presented with acute abdominal pain who proved to have small bowel infarction due to mesenteric thrombosis. RESULT: Both patients showed signs of panperitonitis. CT examination showed portal-superior mesenteric venous thrombosis, small bowel infarction and large amout of ascites in either case. Small bowel resection and thrombectomy in one case and only small bowel resection in the other case were carried. Progressive postoperative fever and abdominal pain developed in one patient and intraabdominal absecess showed on CT examination. We performed secondary operation in the 9th postoperative date. CONCLUSION: The diagnosis of mesenteric venous thrombosis is difficult and small bowel resection should be performed when necrotic small bowel was encountered on exploration. Postoperative anti-coagulation therapy is reported to reduce recurrence and mortalty rate.
Abdominal Pain ; Adult ; Angiography ; Ascites ; Diagnosis ; Fever ; Humans ; Hypertension, Portal ; Infarction* ; Intraabdominal Infections ; Male ; Mortality ; Necrosis* ; Recurrence ; Sepsis ; Short Bowel Syndrome ; Thrombectomy ; Thrombosis ; Veins ; Venous Thrombosis* ; Wound Infection

8

Cite

Share

Bypass Surgery (May-Husni Operation) in Chronic Deep Vein Thrombosis of Superficial Femoral Vein: A case report.

Un Jong CHOI ; Dong Eun PARK ; Kwon Mook CHAE ; Byung Jun SO

Journal of the Korean Society for Vascular Surgery.2001;17(2):299-303.

Chronic venous insufficiency (CVI) is a disease which developes leg edema, venous claudication and finally ankle ulcer due to venous hypertension. The reconstructive surgery for CVI in the lower limbs has its beginning in the 1950s. In patients with post-thrombotic occlusion of superficial femoral vein (SFV), saphenopopliteal bypass (May-Husni operation) improves venous function by implanting the "non-affected" greater saphenous vein into the lowest segment of the popliteal vein. A 30 year-old male had suffered from easy fatigue and edema on the affected limb for 9 years, varicosities, lipodermatosclerosis and ankle ulcer of left lower leg for 2 years. Herein, we report a case of May-Husni operation in a with venous hypertension due to post-thrombotic occlusion of left SFV. We also present a review of the literature.
Adult ; Ankle ; Edema ; Extremities ; Fatigue ; Femoral Vein* ; Humans ; Hypertension ; Leg ; Lower Extremity ; Male ; Popliteal Vein ; Saphenous Vein ; Thrombosis ; Ulcer ; Veins ; Venous Insufficiency ; Venous Thrombosis*

9

Cite

Share

Treatment of Budd-Chiari Syndrome by Porto-cavo-atrial Bypass: A case report.

Woo Jin KIM ; Ji Il KIM ; Sun Cheol PARK ; In Sung MOON ; Jang Sang PARK ; Seung Nam KIM ; Yong Bok KOH

Journal of the Korean Society for Vascular Surgery.2001;17(2):291-298.

Budd-Chiari Syndrome (BCS) is unusual form of portal hypertension caused by occlusion of the hepatic venous outflow and it is often frequently complicated by inferior vena cava (IVC) occlusion. It may vary in its presentation from very mild symptomatology, suggestive of a viral illness, to a very acute form with a fulminant course. In the cases of BCS caused by occlusion of IVC and hepatic vein, none of the standard portal-systemic shunt can be utilized for satisfactory decompression of the liver. We have experienced two cases of BCS, 43 year-old male and 40 year-old male patients, caused by hepatic vein thrombosis associated thrombosis of the IVC. Cavoatrial shunt using Dacron graft and interposition graft between portal vein to cavoatrial graft were performed. Combined porto-cavo-atrial bypass that decompress both the portal system and IVC has been effective in relieving BCS caused by occlusion of hepatic vein with IVC.
Adult ; Budd-Chiari Syndrome* ; Decompression ; Hepatic Veins ; Humans ; Hypertension, Portal ; Liver ; Male ; Polyethylene Terephthalates ; Portal System ; Portal Vein ; Thrombosis ; Transplants ; Vena Cava, Inferior

10

Cite

Share

Bilateral Popliteal Artery Entrapment Syndrome: A case report.

Hyung Ook KIM ; Yong Shin KIM

Journal of the Korean Society for Vascular Surgery.2001;17(2):286-290.

Although the popliteal arterial entrapment syndrome is rare, it is important disease of the arterial insufficiency in younger patients. This 24 years old male patient had complained of calf pain in walking and exercise from 3~4 months ago. The symptom of left extremity was severe during exercises, but that of right was unremarkable. The operation of this case composed of myomectomy of medial head of left gastrocnemius m. and interposition graft with left lesser saphenous vein. Asymptomatic, right extremitiy was left without operation.
Exercise ; Extremities ; Head ; Humans ; Male ; Popliteal Artery* ; Saphenous Vein ; Transplants ; Walking ; Young Adult

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share