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KMID : 0378019830260090059
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New Medical Journal
1983 Volume.26 No. 9 p.59 ~ p.68
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Percutaneous Transluminal Angioplasty, Percutaneous Transhepatic Biliary Drainage And Percutaneous Nephrostomy
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Yoon Yup
Chai Soo-Eung
Lim Kyu-Seong
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Abstract
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Interventional Radiology is a useful term to designate recently emergent subspeciality of radiology dealing with a variety of percutaneous image-guided alternatives or aids to surgery.
Percutaneous transluminal angioplasty is world-wide prevalent method for vascular occlusive disease.
In renal arterial stenosis, successful angioplasty produces dramatic reduction of blood pressure in renin dependent hypertension.
Percutaneous transhepatic biliary drainage is often important as a palliative maneuver for treatment of impending sepsis on malignant biliary obstruction.
It is a relatively easy, safe and effective method for decompression of biliary obstruction and established alternative to standard surgical approaches.
Percutaneous nephrostomy is diversion of renal urinary outflow by means of catheter nephrostomy to obviate recourse to surgery or to be a temporizing measure.
We have experienced 4 cases of renal arterial angioplasty, 15 cases of percutaneous biliary drainage and 2 case of percutaneous nephrostomy in Kyung Hee University Hospital recently.
The results were as follows;
1. In 4 cases of percutaneous transluminal angioplasty of renal arterial stenosis, one patient has gained normal blood pressure after angioplasty while other three showed not satisfactory blood pressure control but mild to moderate control of blood pressure with antihypertensive drugs.
2. The successful result of percutaneous biliary drainage has been obtained. The causes of obstructive jaundice were 5 cases of gastric cancer metastasis, 3 cases of biliary stone, 3 cases of pancreas head cancer, 2´ cases of cholangiocarcinoma and 2 cases of ampulla Vater cancer in favor of order.
3. In 2 cases of percutaneous nephrostomy, one has been obtained successful drainage of pus in pyonephrosis and the other only present cause of obstruction without effective drainage.
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