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KMID : 0386719960080020226
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Journal of the Korean Hip Society
1996 Volume.8 No. 2 p.226 ~ p.232
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Transesophageal Echocardiographic Study of Fat Embolism during Hip Replacement
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윤강섭
이지호/김원중/박잔수/조주희/김철호
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Abstract
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Hypotensive episode commonly occurring in the cemented hip arthroplasty is often associated with a circulatory collapse and sudden death of the patient. We performed transesophageal echocardiography on 20 patients subjected to cemented or
uncemented hip
arthroplasties. Embolic phenomena were detected by transesophageal echocardiography and the echogenic pattern showed an embolic cascade which developed in a relatively scheduled fashion. Age greater than 50 and cemented hip arthroplasty caused
greater
incidence and prolonged period of embolic phenomenon compared to the group with age less than 50 years and uncemented arthroplasty. Embolic phenomenon most frequently occurred during operative procedures which increase intramedullary pressure.
This results imply that a careful assessment of periopelative cardiopulmonary function is a prerequislte to cemented arthroplasty in the patients with age more than 50 years old.
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KEYWORD
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