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진료시간표
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간종양의 치료에 가장 많이 시행되고 있는 시술로, 간 종양에 영양을 공급하는 동맥을 찾아 항암제를 투여한 뒤, 혈관을 막아 주는 치료법입니다. 혈관을 막지 않고 항암제만 직접 투여하는 경우도 있습니다. 간 조직은 2가지의 혈관에 의해 산소 및 영양을 공급 받습니다. 하나는 소장 및 대장 등을 돌아 나오는 문맥(Portal vein)이라는 혈관이며 다른 하나는 대동맥에서 직접 나오는 간동맥입니다. 정상 간 조직은 주로 문맥에서, 종양 조직은 주로 간동맥에서 혈액을 공급 받게됩니다. 그러므로 종양에 영양을 공급하는 간동맥만을 선택하여 항암제를 투여하고 항암제 투여 후 혈관을 막게 되면 정상 간 조직은 크게 손상시키지 않으면서 종양만을 선택적으로 괴사 시킬 수 있습니다.
서혜부(사타구니)에 위치한 대퇴동맥을 통하여 카테터(catheter)라고 하는 약 2-3mm 정도의 관을 삽입하여 간동맥으로 접근합니다. 카테터가 간동맥에 들어가면 혈관 조영제를 주사하면서 간동맥 조영 사진을 얻어 종양의 위치, 크기 및 혈액 공급 양상 등 치료에 필요한 정보를 얻습니다. 치료 방침이 정해지면 약 1 mm 정도 굵기의 가는 관을 이용하여 종양으로 가는 동맥을 찾아 항암제와 색전 물질을 넣어 시술하게 됩니다. 시술은 보통 1 시간 정도 걸리며 환자의 간동맥 분지양상과 종양의 동맥분지 분포가 복잡하면 좀더 많은 시간이 소요될 수 있습니다.
전신 마취와 개복술에 따르는 위험이 없고, 치료 후 회복되는 기간이 짧으며 수술이 불가능한 경우에도 시술이 가능합니다.
고주파열치료는 간암과 같은 종양을 수술 없이 치료하는 시술의 일종입니다. 고주파를 발생시키는 전기침(바늘)을 초음파나 CT를 이용하여 종양에 삽입한 후 발전기에 연결된 전극으로부터 고부하의 교류 전류를 흐르게 하면 전기침(바늘)에서 고주파가 발생되고 전기침 주변에 열이 발생되어 종양조직을 괴사시키는 치료 방법입니다.
고주파 열치료를 위한 패드를 허벅지 양쪽에 부착한 후 시술 부위에 국소마취를 합니다. 전기침을 초음파로 확인하면서 종양의 중심부에 삽입하고 10-15분 간 고주파를 발생시켜 종양의 열치료를 시행합니다. 열치료 후 전기침을 제거하고 지혈을 합니다.
고주파열치료는 간 종양을 수술하지 않고 병소 부위만 집중적으로 치료하여 수술로 종양을 절제하는 경우와 비슷한 효과를 볼 수 있는 시술로 수술적 치료가 어려운 간 종양을 안전하고 효과적으로 치료하는 국소치료법이며 시술 후 후유증이 적고 회복이 매우 빠르며 간편하게 이루어지는 장점이 있습니다.
Dong-Hwan Kim, Hyung Sub Park, Young-Heun Shin, Chang Jin Yoon, Taeseung Lee
Technical Feasibility of Renal Artery Embolization on a Transplanted Kidney Due to Intractable Unilateral Hydronephrosis After En Bloc Kidney Transplantation: Case Report.
J Endovasc Ther
2023 :15266028231159813 -15266028231159813
MeeYoung Kang, Jai Young Cho, Ho-Seong Han, Yoo-Seok Yoon, Hae Won Lee, Boram Lee, Yeshong Park, Jinju Kim, Chang Jin Yoon
Comparative Study of Long-Term Outcomes of Laparoscopic Liver Resection versus Radiofrequency Ablation for Single Small Hepatocellular Carcinoma Located in Left Lateral Segments of the Liver.
Medicina (Kaunas)
2023 ;59 (6)
Yeshong Park, Ho-Seong Han, Yoo-Seok Yoon, Chang Jin Yoon, Hae Won Lee, Boram Lee, MeeYoung Kang, Jinju Kim, Jai Young Cho
Salvage Hepatectomy for Recurrent Hepatocellular Carcinoma after Radiofrequency Ablation: A Retrospective Cohort Study with Propensity Score-Matched Analysis.
Cancers (Basel)
2023 ;15 (19)
Minuk Kim, Won Woo Lee, Jae Hwan Lee, Chong-Ho Lee, Yoo Sung Song, Chang Jin Yoon
CT texture features and lung shunt fraction measured using 99mTc-macroaggregated albumin SPECT/CT before trans-arterial radioembolization for hepatocellular carcinoma patients.
Sci Rep
2023 ;13 (1) :22288 -22288
Chang Jin Yoon, Moonhwan Kim, Hae Won Lee, Boram Lee, Yeongsoo Jo, Jai Young Cho, Yoo-Seok Yoon, Jun Suh Lee, Ho-Seong Han
Intra-arterial lipo-prostaglandin E1 infusion for arterial spasm in liver transplantation: A case report.
World J Clin Cases
2023 ;11 (34) :8153 -8157
Yoon Ah Do, Chang Jin Yoon, Jae Hwan Lee, Won Seok Choi, Chong-Ho Lee
Percutaneous cholecystostomy as a definitive treatment for acute acalculous cholecystitis: clinical outcomes and risk factors for recurrent cholecystitis.
Br J Radiol
2023 ;96 (1147) :20220943 -20220943
Choong Hee Kim, Gwang Hyeon Choi, Hee Young Na, Chang Jin Yoon, Jai Young Cho, Sangmi Jang, Ji Hye Kim, Eun Sun Jang, Jin-Wook Kim, Sook-Hyang Jeong
Hepatocellular carcinoma with Budd-Chiari syndrome due to membranous obstruction of the inferior vena cava with long-term follow-up: a case report.
J Liver Cancer
2022 ;22 (2) :194 -201
Jae Hwan Lee, Chang Jin Yoon, Yun Su Jung, Won Seok Choi, Chong-Ho Lee, Guy Mok Lee
Comparison of n-butyl-2-cyanoacrylate and polyvinyl alcohol particles for bronchial artery embolisation in primary lung cancer: a retrospective cohort study.
Respir Res
2022 ;23 (1) :257 -257
Young Mi Jung, Hyeon Ji Kim, Won Seok Choi, Jee Yoon Park, Nak Jong Seong, Kyung Joon Oh, Joon-Seok Hong, Chang Jin Yoon
CT angiography for the management of postpartum hemorrhage refractory to conservative treatment.
J Matern Fetal Neonatal Med
2022 ;35 (21) :4081 -4088
Woo Jin Jung, Sangmi Jang, Won Joon Choi, Jaewon Park, Gwang Hyeon Choi, Eun Sun Jang, Sook-Hyang Jeong, Won Seok Choi, Jae Hwan Lee, Chang Jin Yoon, Jin-Wook Kim
Metformin administration is associated with enhanced response to transarterial chemoembolization for hepatocellular carcinoma in type 2 diabetes patients.
Sci Rep
2022 ;12 (1) :14482 -14482
Hooney Min, Chang Jin Yoon, Jae Hwan Lee, Won Seok Choi, Joon Bum Yeo, Yoo-Seok Yoon, Jai Young Cho, Hae Won Lee, Jun Suh Lee
Covered stent placement for gastroduodenal artery stump hemorrhage after pancreaticoduodenectomy: long-term patency and risk factor of stent failure.
Br J Radiol
2022 ;95 (1139) :20220022 -20220022
Hyo Jin Kim, Chang Jin Yoon, Seungjae Lee, Jae Hwan Lee, Won Seok Choi, Chong-Ho Lee
Comparison between Antegrade versus Retrograde Ureteral Stent Placement for Malignant Ureteral Obstruction.
J Vasc Interv Radiol
2022 ;33 (10) :1199 -1206
Chong-Ho Lee, Chang Jin Yoon, Jae Hwan Lee, Won Seok Choi, Guy Mok Lee, Kyung Joon Oh
Recurrent postpartum hemorrhage at subsequent pregnancy in patients with prior uterine artery embolization: angiographic findings and outcomes of repeat embolization.
Br J Radiol
2022 ;95 (1136) :20211355 -20211355
Hooney Daniel Min, Saebeom Hur, Jae Hwan Lee, Chang Jin Yoon, Won Seok Choi, Seunghyun Lee
Noninvasive assessment of foot perfusion in cholesterol-fed rabbits using dynamic volume perfusion CT with an upslope method.
Sci Rep
2022 ;12 (1) :8894 -8894
Yong Ju Kim, Chang Jin Yoon, Jae Hwan Lee, Won Seok Choi, Yoo-Seok Yoon, Jin-Hyeok Hwang, Jaihwan Kim
Transhepatic stent placement for malignant portal vein obstruction: Long term efficacy and factors associated with stent failure.
Eur J Radiol
2022 ;149 :110230 -110230
Sungho Kim, Chang Jin Yoon, Jai Young Cho, Ho-Seong Han, Yoo-Seok Yoon, Hae Won Lee, Jun Suh Lee, Moonhwan Kim, Boram Lee, Soyeon Ahn
Comparative long-term outcomes of laparoscopic hepatectomy and radiofrequency ablation for hepatocellular carcinoma located in the anterolateral segments of the liver.
J Hepatobiliary Pancreat Sci
2022 ;29 (3) :349 -358
Jae Hwan Lee, Dong Hyun Kim, Sang Hwan Lee, Jin Ho Hwang, Soo Buem Cho, Minuk Kim, Young Ho So, Young Jae Kim, Won Seok Choi, Chang Jin Yoon
Short-term Results of Transcatheter Arterial Embolization for Chronic Medial Epicondylitis Refractory to Conservative Treatment: A Single-Center Retrospective Cohort Study.
Cardiovasc Intervent Radiol
2022 ;45 (2) :197 -204
Hae Young Kim, Ji Hoon Park, Sung Soo Lee, Jong-June Jeon, Chang Jin Yoon, Kyoung Ho Lee
Differentiation between complicated and uncomplicated appendicitis: diagnostic model development and validation study.
Abdom Radiol (NY)
2021 ;46 (3) :948 -959
Won Seok Choi, Chang Jin Yoon, Jae Hwan Lee, Yoo-Seok Yoon, Jai Young Cho, Jun Suh Lee
Hepatic Artery Embolization for Postoperative Hemorrhage: Importance of Arterial Collateral Vessels and Portal Venous Impairment.
J Vasc Interv Radiol
2021 ;32 (6) :826 -834
Won Seok Choi, Chang Jin Yoon, Jae Hwan Lee
Percutaneous Enteral Stent Placement Using a Transhepatic Access for Palliation of Malignant Bowel Obstruction after Surgery.
Korean J Radiol
2021 ;22 (5) :742 -750
Jae Hwan Lee, Chang Jin Yoon, Won Seok Choi
Transhepatic stent placement for portal vein obstruction after hepatobiliary and pancreatic surgery: long-term efficacy and risk factor for stent failure.
Eur Radiol
2021 ;31 (3) :1300 -1307
Won Seok Choi, Min Uk Kim, Hyo-Cheol Kim, Chang Jin Yoon, Jae Hwan Lee
Variations of bronchial artery origin in 600 patients: Systematic analysis with multidetector computed tomography and digital subtraction angiography.
Medicine (Baltimore)
2021 ;100 (22) :e26001 -e26001
J H Lee, C J Yoon, W S Choi, C-H Lee
Benign postoperative hepaticojejunostomy stricture: percutaneous recanalisation using the reverse end of a microwire.
Clin Radiol
2020 ;75 (11) :879.e1 -879.e6
Hyungwoo Ahn, Chang Jin Yoon, Jae Hwan Lee, Won Seok Choi
Stent Placement for Palliative Treatment of Malignant Colorectal Obstruction: Extracolonic Malignancy Versus Primary Colorectal Cancer.
AJR Am J Roentgenol
2020 ;215 (1) :248 -253
So Hyun Kang, Hyung Sub Park, Chang Jin Yoon, Chang Sik Shin, Kwon Cheol Yoo, Taeseung Lee
Mid- to Long-Term Outcomes in Management of Spontaneous Isolated Coeliac Artery Dissection (SICAD).
Eur J Vasc Endovasc Surg
2020 ;59 (2) :247 -253
Doo Ri Kim, Chang Jin Yoon, Jae Hwan Lee, Won Seok Choi
Fluoroscopic Rescue of Failed Endoscopic Stent Placement for Obstructing Colorectal Malignancy.
AJR Am J Roentgenol
2020 ;214 (1) :213 -217
Yun Gabin, Yoon Chang Jin, Seong Nak Jong
Percutaneous treatment of benign bilioenteric anastomotic strictures: temporary covered stent placement versus balloon dilatation
EUR RADIOL
2019 ;29 (5) :2690 -2697
Percutaneous stent placement for malignant hilar biliary obstruction: a comparison between criss-cross and T-configuration techniques
CLIN RADIOL
2018 ;73 (4) :412.e9 -412.e16
Comparison of Combined Therapy Using Conventional Chemoembolization and Radiofrequency Ablation Versus Conventional Chemoembolization for Ultrasound-Invisible Early-Stage Hepatocellular Carcinoma (Barcelona Clinic Liver Cancer Stage 0 or A)
KOREAN J RADIOL
2018 ;19 (6) :1130 -1139
Transjejunostomy Stent Placement in Patients With Malignant Small-Bowel Obstructions
AM J ROENTGENOL
2018 ;211 (5) :1148 -1154
Oncologic outcomes of preoperative stent insertion first versus immediate surgery for obstructing left-sided colorectal cancer
SURG ONCOL
2018 ;27 (2) :216 -224
Living-donor liver transplantation for giant hepatic hemangioma with diffuse hemangiomatosis in an adult: a case report
Clin Mol Hepatol
2018 ;24 (2) :163 -168
Gastrointestinal tract complications after hepatic radiofrequency ablation: CT prediction for major complications
ABDOM RADIOL
2018 ;43 (3) :583 -592
Clinical Outcomes for Endovascular Repair of Thoracic Aortic Disease Using the Seal Thoracic Stent Graft: A Korean Multicenter Retrospective Study
J VASC INTERV RADIOL
2017 ;28 (5) :645 -654
Cryptogenic Hemoptysis: Effectiveness of Bronchial Artery Embolization Using N-Butyl Cyanoacrylate
J VASC INTERV RADIOL
2017 ;28 (8) :1161 -1166
Spontaneous Dissection of Superior Mesenteric Artery: Long-Term Outcome of Stent Placement
J VASC INTERV RADIOL
2017 ;28 (12) :1722 -1726
Percutaneous biliary approach as a successful rescue procedure after failed endoscopic therapy for drainage in advanced hilar tumors
J GASTROEN HEPATOL
2017 ;32 (4) :932 -938
Percutaneous transhepatic versus EUS-guided gallbladder drainage for malignant cystic duct obstruction
GASTROINTEST ENDOSC
2017 ;85 (2) :357 -364
Comparative effectiveness of lumbar epidural steroid injections using particulate vs. non-particulate steroid: an intra-individual comparative study
SKELETAL RADIOL
2016 ;45 (2) :169 -176
Fluoroscopy-guided radiofrequency ablation for small hepatocellular carcinoma: a retrospective comparison with ultrasound-guided ablation
CLIN RADIOL
2015 ;70 (9) :1009 -1015
Treatment outcomes of transcatheter arterial chemoembolization for hepatocellular carcinoma that invades hepatic vein or inferior vena cava
CARDIOVASC INTER RAD
2014 ;37 (6) :1507 -1515
Synthesis of Gold Nanoparticles by Electro-reduction Method and Their Application as an Electro-hyperthermia System
B KOREAN CHEM SOC
2014 ;35 (6) :1619 -1624
Post-operative hemorrhage after myomectomy: safety and efficacy of transcatheter uterine artery embolization
KOREAN J RADIOL
2014 ;15 (3) :356 -363
Non-surgical treatment of post-surgical bile duct injury: clinical implications and outcomes
WORLD J GASTROENTERO
2014 ;20 (22) :6924 -6931
Autologous stem cell transplantation for expansion of remnant liver volume with extensive hepatectomy
HEPATO-GASTROENTEROL
2014 ;61 (129) :156 -161
Disappearance of intrahepatic bile duct hepatocellular carcinoma after endoscopic retrograde cholangiopancreatography and transarterial chemoinfusion: a case report
Korean J Gastroenterol
2014 ;63 (5) :321 -324
Safety and efficacy of radiological percutaneous jejunostomy for decompression of malignant small bowel obstruction
EUR RADIOL
2013 ;23 (10) :2747 -2753
Failed pelvic arterial embolization for postpartum hemorrhage: clinical outcomes and predictive factors
J VASC INTERV RADIOL
2013 ;24 (5) :703 -709
Postpartum haemorrhage from ruptured pseudoaneurysm: efficacy of transcatheter arterial embolisation using N-butyl-2-cyanoacrylate
EUR RADIOL
2013 ;23 (8) :2344 -2349
Inferior Mesenteric Artery Collaterals to the Uterus during Uterine Artery Embolization: Prevalence, Risk Factors, and Clinical Outcomes
J VASC INTERV RADIOL
2013 ;24 (9) :1353 -1360
Palliative treatment of unresectable hepatocellular carcinoma with obstructive jaundice using biliary drainage with subsequent transarterial chemoembolization
J PALLIAT MED
2013 ;16 (9) :1026 -1033
Inaccessible postoperative abdominal abscess: percutaneous drainage technique with puncture of a sinus tract
J VASC INTERV RADIOL
2013 ;24 (4) :586 -591
Bronchial artery embolization to control hemoptysis: comparison of N-butyl-2-cyanoacrylate and polyvinyl alcohol particles
RADIOLOGY
2013 ;269 (2) :594 -602
Stent patency using competing risk model in unresectable pancreatic cancers inserted with biliary self-expandable metallic stent
DIGEST ENDOSC
2013 ;25 (1) :67 -75
Feasibility of Superficial Femoral Artery Intervention Using Mobile C-arms Compared to Fixed C-arms
Korean J Vasc Endovasc Surg
2012 ;28 (4) :190 -195
Safety and efficacy of laparoscopic radiofrequency ablation for hepatic malignancies
J KOREAN SURG SOC
2012 ;83 (1) :36 -42
Laparoscopic approach for treatment of multiple hepatocellular carcinomas
SURG ENDOSC
2012 ;26 (11) :3133 -3140
Surveillance of contrast-media-induced hypersensitivity reactions using signals from an electronic medical recording system
ANN ALLERG ASTHMA IM
2012 ;108 (3) :167 -171
Effects of arsenic trioxide on radiofrequency ablation of VX2 liver tumor: intraarterial versus intravenous administration
KOREAN J RADIOL
2012 ;13 (2) :195 -201
Temporary placement of covered retrievable expandable nitinol stents with barbs in high-risk surgical patients with benign prostatic hyperplasia: work in progress
J VASC INTERV RADIOL
2011 ;22 (10) :1420 -1426
Efficacy and Safety of Hepatic Arterial Infusion of Fluorouracil with Leucovorin as Salvage Treatment for Refractory Liver Metastases from Colorectal Cancer
korean j intern med
2011 ;26 (1) :82 -88
Comparison between transauricular and transfemoral arterial access for hepatic artery angiography in a rabbit model
J VASC INTERV RADIOL
2011 ;22 (8) :1181 -1187
Hepatocellular carcinoma in older adults: clinical features, treatments, and survival.
J AM GERIATR SOC
2011 ;59 (2) :241 -250
Novel intraarterial therapy for liver cancer using ethylbromopyruvate dissolved in an iodized oil
ACAD RADIOL
2011 ;18 (4) :471 -478
Transcatheter arterial embolization of gastroduodenal artery stump pseudoaneurysms after pancreaticoduodenectomy: safety and efficacy of two embolization techniques
J VASC INTERV RADIOL
2011 ;22 (3) :294 -301
Bronchial and nonbronchial systemic artery embolization in patients with major hemoptysis: safety and efficacy of N-butyl cyanoacrylate.
AM J ROENTGENOL
2011 ;196 (2) :199 -204
Outcomes of Endovascular Intervention and Bypass Surgery for Femoral Artery Atherosclerosis
J Korean Surg Soc
2010 ;79 (3) :215 -222
Caudate lobe hepatocellular carcinoma treated with selective chemoembolization
RADIOLOGY
2010 ;257 (1) :278 -287
Temporary placement of a covered, retrievable, barbed stent for the treatment of hormone-induced benign prostatic hyperplasia: technical feasibility and histologic changes in canine prostates
J VASC INTERV RADIOL
2010 ;21 (9) :1429 -1435
The value of preoperative multidetector compute tomography for deep inferior epigastric artery perforator free flap
대한성형외과학회지
2009 ;36 (2) :140 -146
열처리와 기계적 연마가 니티놀 스텐트에 미치는 영향
대한영상의학회지
2009 ;61 (3) :143 -148
Single-sessioncombined therapy with chemoembolization and radiofrequency ablation in hepatocellular carcinoma less than or equal to 5 cm: a preliminary study
J VASC INTERV RADIOL
2009 ;20 (12) :1570 -1577
Development of Diaphragmatic Weakness after Transcatheter Arterial Chemoembolization of the Right Inferior Phrenic Artery: Frequency and Determinant Factors
J VASC INTERV RADIOL
2009 ;20 (4) :484 -489
A Case of Acute Ischemic Duodenal Ulcer Associated with Superior Mesenteric Artery Dissection After Transarterial hemoembolization for Hepatocellular Carcinoma.
CARDIOVASC INTER RAD
2009 ;32 (2) :367 -370
Palliative treatment with self-expandable metallic stents in patients with advanced type III or IV hilar cholangiocarcinoma: a percutaneous versus endoscopic approach
GASTROINTEST ENDOSC
2009 ;69 (1) :55 -62
Transjugular intrahepatic portosystemic shunt for acute variceal bleeding in patients with viral liver cirrhosis : predictors of early mortality
American Journal of Roentgenology
2005
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