( ) New Trend In Interventional Neuroradiology 88 6 30 89 6 29 90 2 5 1
2 (Stent) (MINIMAL INVASIVE PROCEDURE)
4 5 18 15 3
4 X X (SUPER SELECTIVE)
88 7 (LCMCLahey Clinics Medical Center) ( INRInterventional Neuroradiology Department) Lahey Clinics INR Department Director Dr. In Sup ChoiDr. Choi LCMC INR stent thrombolysis INR 6 INR LCMC INR INR INR 5
LCMC INR INR INR INR INR (Minimal Invasive) INR LCMC INR Dr. Choi INR FELLOW Dr. Choi FELLOW a 10 INR Dr. Choi 6
LCMC INR INR 95 60 155 28 41 69 17 4 21 2 7 9 2 6 8 1 73 74 2 0 2 112 190 338 LCMC INR 1. (POSTERIOR FOSSA) INR LCMC Mobile CT scan. Rotational Angiography with 3D Reconstruction 7
6F Guiding Catheter Microcatheter Rotational Angiography with 3D Reconstruction Long Axis, Short Axis and Neck (Detachable Coil) Detachable Coil INR Coil Coil Detachable Coil Coil INR Parent Vessel Parent Vessel Endothelium Neck 2. 8
9 INR 3. athrosclerotic plaque (Angioplasty) (Stent) 4. LCMC INR INR
5. INR 6. INR Bone Cement LCMC INR 1. Biplane, high resolution DSA DSA(Digital Subtraction Angiography) 512x512 DSA 10
1024X1024 2048X2048 DSA (Image Intensifier) DSA (Biplanes DSA) 2. 3D Rotational angiography 3D (CT angiography) 3D (MR angiography) CT angiogarphy MR angiography 3D Rotational angiography CT X Back Projection CT 12mm 3D Rotational angiography 0.5mm CT 3DMR 3D 3D CTMR scanner 3D 3D Rotational angiography 11
3. CT MR CTMR CTMR CT MR MR CT MR CT Mobile CT Mobile CT 4. (Catheter) micro catheter catheter guiding catheter micro catheter guiding catheter control guiding catheter guiding catheter balloon guiding catheter balloon catheter balloon 12
internal carotid artery 5. microcathetermicroguidewire catheter microcathetermicroguidewire microcathetermicroguidewire microcathetermicroguidewire micro catherter flow guide V.S. over the wire micro guidewire micro catheter flow guide catheter micro guidewire 6. gelform (gelform ) ( ) coil( ) Tissue glue GDC coil 13
7. (Stent) 8. 14
INR 1. INR LCMC INR 2. INR LCMC INR INR 3. INR (MINIMAL INVASIVE) 4. 3D Angiogarphy LCMC INR 3D ROTATIONAL ANGIOGRAPHY INR 15
5. INR MRI MRI MRI CTMRI CT 6. CTMRI X MRI PULSE SEQUENCE 7. 16
17
18 1. INR 300 INR INR INR INR INR INR 2. INR INR
INR 3. INR 4. INR 5. LCMC INR 3D Rotationary Angiography 19