@article{oai:sapmed.repo.nii.ac.jp:00008110, author = {大里, 俊明 and 中川原, 譲二 and 上山, 憲司 and 寺尾, 健 and 黒川, 徹 and 中村, 博彦}, issue = {1}, journal = {北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation}, month = {Mar}, note = {The STA-MCA bypass on chronic stage has been performed to prevent the re-attack of the cerebral infarction. Japanese EC/IC bypass trial (JET) study is on going to prove the efficacy now. However, the efficacy of the acute bypass surgery to prevent progressing stroke has not been clarified so far. Therefore, we made comparative study of cerebral blood flow (CBF) between the JET group and an acute bypass surgery group. JET group was conservatively followed up in acute stage; meanwhile, patients of the acute bypass surgery group underwent the STA-MCA bypass to prevent the progressing stroke. Result: To compare with the non-affected side, the CBF was -22.54% in subgroup with stable symptom, and -28.45% in subgroup with the transient deteriorated in JET group. The CBF in the acute bypass surgery group is -40.9%, and it has significantly decreased, compared with JET group. We concluded that the symptomatic deterioration could not be prevented with conservative therapies in the acute bypass surgery group. Therefore, the acute enhancement of the cerebral blood circulation for progressing stroke was thought to be useful.}, pages = {1--4}, title = {アテローム血栓性脳梗塞急性期STA-MCAバイパス術の展望}, volume = {14}, year = {2004} }