{"created":"2023-05-15T09:03:44.477035+00:00","id":8094,"links":{},"metadata":{"_buckets":{"deposit":"98617a98-8b52-4f02-9fa1-ac9c266e1f09"},"_deposit":{"created_by":3,"id":"8094","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"8094"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00008094","sets":["1875:1892:1902"]},"author_link":["6372","6373","6374"],"control_number":"8094","item_2_alternative_title_18":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Analysis of Factors of Occlusion Intolerance in Carotid Angioplasty"}]},"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2001-12-20","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"25","bibliographicPageStart":"21","bibliographicVolumeNumber":"11・12","bibliographic_titles":[{"bibliographic_title":"北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Objective: We analyzed the factors of occlusion intolerance in cases of cervical internal carotid artery (ICA) stenosis treated with percutaneous transluminal angioplasty (PTA), and discussed the possibility of the prediction of occlusion intolerance by our evaluation system of pre-PTA examinations. Methods: The present study was based on 20 patients with symptomatic cervical ICA stenosis treated with PTA. All patients had no large cerebral infarction, and PTA was performed under consciousness. In this study we prescribed the occlusion intolerance that consciousness disturbance, hemiparesis, or seizure appeared within 30 seconds after balloon inflation and they disappeared immediately after balloon deflation. We analyzed pre-PTA cerebral blood flow (CBF) and angioarchitecture. It was evaluated numerically using following five factors. Ipsilateral CBF (28m1/100g/min and over: 0, under: 1), Contralateral CBF (28m1/100g/min and over: 0, under: 1), Main vascular territory (3 branches under: 0, and over: 1), Anterior communicating artery (cross flow + or indirect existence finding+: 0, good collateral flow: -1, nonexistent: 1), Posterior communicating artery (adult type, transitional type, functioning as collateral channel: 0, good collateral flow: -1, fetal type: 1). Results: Seven of the 20 patients were intolerable. Each Factors: Ipsilateral CBF 1 point; 5 cases and 3 of 5 (60%) were intolerable. Contralateral CBF 1 point; 3 cases and all (100%) cases were intolerable. Main vascular territory 1 point; 6 cases and 5 of 6 (83.3%) were intolerable. Anterior communicating artery 1 point; 7 cases and 4 of 7 (57%) were intolerable. Posterior communicating artery 1 point; 8 cases and 5 of 8 (62.5%) were intolerable. The overall points : 1 point and less ; 12 cases all cases were tolerable (100%), 2 points : 4 cases and 3 of 4 (75%) were intolerable. 3 points or over: 4 cases and all cases were intolerable. Conclusions: We can predict occlusion intolerance in high probability with overall points of our evaluation system. Single factor analysis can predict occlusion intolerance in some degree (57-100%) but cannot cover all the patients. This evaluation system is also useful to evaluate the perioperative ischemic risk of carotid endarterectomy.","subitem_description_type":"Abstract"}]},"item_2_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"中村記念病院"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1340-5764","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"片岡, 丈人"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"高田, 英和"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"瓢子, 敏夫"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-07-21"}],"displaytype":"detail","filename":"n1340576411121.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n1340576411121.pdf","url":"https://sapmed.repo.nii.ac.jp/record/8094/files/n1340576411121.pdf"},"version_id":"3c203c36-2edf-4337-8982-1c83faf7ae60"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"頸部内頸動脈狭窄症に対する経皮的血管拡張術中の Occlusion Intolerance の要因に関する検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"頸部内頸動脈狭窄症に対する経皮的血管拡張術中の Occlusion Intolerance の要因に関する検討","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"3","path":["1902"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-03-24"},"publish_date":"2009-03-24","publish_status":"0","recid":"8094","relation_version_is_last":true,"title":["頸部内頸動脈狭窄症に対する経皮的血管拡張術中の Occlusion Intolerance の要因に関する検討"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-02-14T04:39:02.848871+00:00"}