| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○カテゴリ (推奨): |
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| ○学究種別 (推奨): |
| ○組織 (推奨): |
| ○著者 (必須): | 1. | 山本 伸昭
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| ○学籍番号 (推奨): |
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| 2. | 山本 雄貴 ([徳島大学.病院.診療科.内科.脳神経内科])
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| ○学籍番号 (推奨): | □ | ****
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| 3. | 山口 泉
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| 4. | 石原 学 ([徳島大学.大学院医歯薬学研究部.医学域.先端医学教育研究プロジェクト]/[徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.救急集中治療医学])
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| ○学籍番号 (推奨): | □ | ****
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| 5. | 宮本 健志 ([徳島大学.大学院医歯薬学研究部.医学域.先端医学教育研究プロジェクト]/[徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.脳神経外科学])
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| 6. | 高麗 雅章 ([徳島大学.大学院医歯薬学研究部.医学域.先端医学教育研究プロジェクト]/[徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.脳神経外科学])
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| 7. | 島田 健司 ([徳島大学.病院.先端医科医療開発研究プロジェクト]/[徳島大学.病院.診療科.脳·神経·精神科.脳神経外科])
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| ○貢献度 (任意): |
| ○学籍番号 (推奨): |
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| 8. | 兼松 康久
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| ○学籍番号 (推奨): |
| [継承] |
| 9. | 和泉 唯信 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.内科系.臨床神経科学]/[徳島大学.病院.診療科.内科.脳神経内科])
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| ○学籍番号 (推奨): |
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| 10. | 髙木 康志 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.脳神経外科学])
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| ○題名 (必須): | □ | (英) Cone beam-computed tomography angiography by intravenous contrast injection is reliable to evaluate patients with large vessel occlusion (日)
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| ○要約 (任意): | □ | (英) Mechanical thrombectomy (MT) for acute ischemic stroke (AIS) patients due to emergent large vessel occlusion (ELVO) is standard treatment, the benefits, however, are highly time-sensitive. After patient eligibility for reperfusion therapy is determined by conventional radiological examinations, the time to be transferred from the department of radiological examination to angiography-suites is critical. We speculated that the time required for the diagnosis of AIS might be reduced if we could determine MT eligibility in patients with ELVO at angiography-suites. Modern angiography-suites with flat panel detectors can perform cone beam (CB)-CT. We performed CB-CTA using intravenous injection of contrast agent to evaluate occlusion sites, collateral score, and construction of vessels distal to occlusion sites and determined if CB-CTA could be useful to evaluate patients with ELVO. We included 15 patients with ELVO diagnosed by conventional MRI or CT/CTA, and investigated whether CB-CTA was reliable to diagnose occlusion sites. We also studied if collateral score on CB-CTA was associated with prognosis after successful reperfusion by MT by comparison between favorable (modified Rankin scale (mRS) 0-2), and unfavorable outcome group (mRS 3-6). There was strong agreement of occlusion sites between CB-CTA and conventional radiological examination (κ = 0.80). Collateral score determined by CB-CTA was significantly different between favorable outcome and unfavorable outcome group (median collateral score 2.3 v.s. 1.3, p = 0.040). Although prospective study of AIS patients at a radiography department is indispensable, CB-CTA performed in an angiography-suite might be useful to evaluate patients with ELVO. (日)
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| ○キーワード (推奨): | 1. | (英) Aged (日) (読)
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| 2. | (英) Aged, 80 and over (日) (読)
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| 3. | (英) Brain Ischemia (日) (読)
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| 4. | (英) Carotid Artery Thrombosis (日) (読)
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| 5. | (英) Computed Tomography Angiography (日) (読)
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| 6. | (英) Contrast Media (日) (読)
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| 7. | (英) Female (日) (読)
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| 8. | (英) Humans (日) (読)
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| 9. | (英) Infarction, Middle Cerebral Artery (日) (読)
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| 10. | (英) Injections, Intravenous (日) (読)
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| 11. | (英) Male (日) (読)
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| 12. | (英) Middle Aged (日) (読)
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| 13. | (英) Prognosis (日) (読)
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| 14. | (英) Reperfusion (日) (読)
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| 15. | (英) Retrospective Studies (日) (読)
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| 16. | (英) Thrombectomy (日) (読)
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| 17. | (英) Treatment Outcome (日) (読)
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| ○発行所 (推奨): |
| ○誌名 (必須): | □ | Journal of Clinical Neuroscience (Australian Association of Neurologists/Australian and New Zealand Society for Neuropathology/Asian/Australian Society of Neurological Surgeons/Neurosurgical Society of Australasia)
(pISSN: 0967-5868, eISSN: 1532-2653)
| ○ISSN (任意): | □ | 1532-2653
ISSN: 0967-5868
(pISSN: 0967-5868, eISSN: 1532-2653) Title: Journal of clinical neuroscience : official journal of the Neurosurgical Society of AustralasiaTitle(ISO): J Clin NeurosciPublisher: Churchill Livingstone (NLM Catalog)
(Scopus)
(CrossRef)
(Scopus information is found. [need login]) | [継承] |
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| ○巻 (必須): | □ | 70
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| ○号 (必須): | □ |
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| ○頁 (必須): | □ | 67 71
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| ○都市 (任意): |
| ○年月日 (必須): | □ | 西暦 2019年 12月 初日 (令和 元年 12月 初日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.1016/j.jocn.2019.08.078 (→Scopusで検索)
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| ○PMID (任意): | □ | 31445814 (→Scopusで検索)
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| ○CRID (任意): |
| ○WOS (任意): |
| ○Scopus (任意): | □ | 2-s2.0-85070874852
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| ○評価値 (任意): |
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| ○指導教員 (推奨): |
| ○備考 (任意): | 1. | (英) Article.ELocationID: S0967-5868(19)31289-5 (日)
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| 2. | (英) Article.ELocationID: 10.1016/j.jocn.2019.08.078 (日)
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| 3. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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| 4. | (英) KeywordList.Keyword: Collateral score (日)
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| 5. | (英) KeywordList.Keyword: Cone beam-CTA (日)
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| 6. | (英) KeywordList.Keyword: ELVO (日)
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