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  1. 病院誌・年報
  2. 北海道脳神経疾患研究所医誌
  3. 1巻

Acute Cerebral Revascularization : Correlation among Preoperative CBF, Collateral Flow and Surgical Outcome

https://sapmed.repo.nii.ac.jp/records/7999
https://sapmed.repo.nii.ac.jp/records/7999
d5c11876-fdb3-4229-b7a7-b3e4a7a585d2
名前 / ファイル ライセンス アクション
n134057641124.pdf n134057641124.pdf (1.1 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2009-03-24
タイトル
タイトル Acute Cerebral Revascularization : Correlation among Preoperative CBF, Collateral Flow and Surgical Outcome
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 acute cerebral revascularization
キーワード
言語 en
主題Scheme Other
主題 cerebral blood flow
キーワード
言語 en
主題Scheme Other
主題 cerebral ischemia
キーワード
言語 en
主題Scheme Other
主題 collateral flow
キーワード
言語 en
主題Scheme Other
主題 embolectomy
キーワード
言語 en
主題Scheme Other
主題 STA-MCA anastomosis
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 NAKAGAWARA, Jyoji

× NAKAGAWARA, Jyoji

NAKAGAWARA, Jyoji

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NAKAMURA, Jun-ichi

× NAKAMURA, Jun-ichi

NAKAMURA, Jun-ichi

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TAKEDA, Rihei

× TAKEDA, Rihei

TAKEDA, Rihei

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TANAKA, Yasumichi

× TANAKA, Yasumichi

TANAKA, Yasumichi

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SUEMATSYU, Katsumi

× SUEMATSYU, Katsumi

SUEMATSYU, Katsumi

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抄録
内容記述タイプ Abstract
内容記述 Twenty-two,patients,of,acute,cerebral,revascularization,were,analyzed,in,order,to,evaluate,various,predictors related to surgical effectiveness and outcome. These patients presented sudden neurological symptoms following occlusion of the middle cerebral artery (MCA). The left MCA was involved in 8 patients, and the right in 14 patients. Prior to surgical intervention, CT scan, serial angiography, and measurement of cerebral blood flow (CBF) were performed. STA-MCA anastomosis was completed in 21 patients, and left MCA embolectomy was performed on one patient. In the 14 patients of the effective group, the time elapsed from onset of stroke to revascularization was an average of 19.5 hours (6-72 hours). Of these patients,7 cases has a residual CBF of 24.8±1.2m1/100g/min (45% of normal CBF). Collateral flow, as judged from the preoperative angiograms, was good in 4 cases, and fair in 10 cases. In the 8 cases of the non-effective group, the time elapsed prior to the restoration of flow was an average of 8.2 hours (6-16 hours). Three cases had a residual CBF of 19.5 ±1.1m//100g/min. Collateral flow was fair in 5 cases, and poor in 3 cases. These results suggest that good preoperative collateral flow and residual CBF constitute the most accurate favorable predictors for the estimation of surgical effectiveness and outcome, and the time limits for acute cerebral revascularization is variable according to the degree of residual CBF supplied by collateral flow patterns.
書誌情報 北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation

巻 1, 号 1, p. 24-29, 発行日 1988-08-01
ISSN
収録物識別子タイプ ISSN
収録物識別子 1340-5764
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
出版者
出版者 中村記念病院
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