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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 39 - 43 (5page)
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Balloon angioplasty can cause shear stress and tear of the vascular endothelium during mechanical dilatation, leading to increased inflammation and coagulation reactions of the vascular endothelium. Herein, a worst case of active rheumatoid vasculitis is described, where due to progressing ischemic necrosis of the leg, endovascular intervention was unavoidably performed in the presence of active rheumatoid vasculitis. After percutaneous balloon angioplasty, the patient developed recurrent thrombotic occlusion of the leg arteries, and finally, limb amputation resulted in despite vigorous treatment including medication, immunosuppression, catheter-directed thrombolysis, and post-thrombolysis anticoagulation. This case report indicates that endovascular intervention may be detrimental to the active rheumatoid vasculitis. Until the development of treatment guideline to prevent or control inflammatory reaction, endovascular intervention for the active rheumatoid vasculitis may not be appropriate as a first line therapy even though there is progressing ischemic necrosis.
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참고문헌 (11)
참고문헌 신청
Radak D / 2017 / Should we be concerned about the inflammatory response to endovascular procedures? / Curr Vasc Pharmacol 15:230~237
Makol A / 2015 / Rheumatoid vasculitis: an update / Curr Opin Rheumatol 27:63~70
Makol A / 2014 / Vasculitis associated with rheumatoid arthritis: a case-control study / Rheumatology (Oxford) 53:890~899
Villeneuve E / 2010 / 2010 ACR-EULAR classification criteria for rheumatoid arthritis / Rev Bras Reumatol 50:481~483
Scott DG / 1984 / Intravenous cyclophosphamide plus methylprednisolone in treatment of systemic rheumatoid vasculitis / Am J Med 76:377~384
Makol A / 2015 / Rheumatoid vasculitis: an update / Curr Opin Rheumatol 27:63~70
Makol A / 2014 / Vasculitis associated with rheumatoid arthritis: a case-control study / Rheumatology (Oxford) 53:890~899
Villeneuve E / 2010 / 2010 ACR-EULAR classification criteria for rheumatoid arthritis / Rev Bras Reumatol 50:481~483
Scott DG / 1984 / Intravenous cyclophosphamide plus methylprednisolone in treatment of systemic rheumatoid vasculitis / Am J Med 76:377~384
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