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방사선성 출혈성방광염의 치료: 하복동맥색전술

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Author(s)
윤재식김천일손철호Jae Sik YoonChun Il KimCheol Ho Sohn
Keimyung Author(s)
Kim, Chun IlSohn, Chul Ho
Department
Dept. of Urology (비뇨의학)
Dept. of Radiology (영상의학)
Journal Title
대한비뇨기과학회지
Issued Date
1999
Volume
40
Issue
11
Abstract
Purpose: We assessed the long term efficacy and complications of angiographic embolization of hypogastric arteries in treating the intractable bladder hemorrhage induced by radiation.
Materials and Methods: From January 1990 to December 1997, a total of 43 patients with radiation induced hemorrhagic cystitis were evaluated. Of 43 patients, 5 patients were treated by bilateral selective angiographic embolization of the anterior branches of the hypogastric arteries. The embolic material used in all patients was gelfoam.
Results: Five patients with intractable bladder hemorrhage were treated by bilateral selective embolization of the anterior branches of the hypogastric arteries by gelfoam and successful in completely stopping or considerably decreasing intractable bladder hemorrhage in all patients. The average number of treatments was 1.6(range 1 to 2). There was no significant sequelae ocurred as a consequence of simultaneous bilateral occlusion of the hypogastric arteries.
Conclusions: Radiation induced hemorrhagic cystitis that do not respond to irrigations with chemical cauterizing agents or transurethral fulguration of bleeding vessels can be successfully treated with bilateral selective angiographic embolization of the anterior branches of the hypogastric arteries.
Key word : Radiation induced hemorrhagic cystitis, Embolization, Hypogastric artery
Alternative Title
Treatment of Radiation Induced Hemorrhagic Cystitis: Angiographic Embolization of Hypogastric Arteries
Keimyung Author(s)(Kor)
김천일
손철호
Publisher
School of Medicine
Citation
윤재식 et al. (1999). 방사선성 출혈성방광염의 치료: 하복동맥색전술. 대한비뇨기과학회지, 40(11), 1430–1434.
Type
Article
ISSN
2005-6737
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38731
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
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